Individual
DR. JERRY A KROEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
249 CHERRY HILL BLVD, SUITE 5, LINCOLN, NE 68510-2645
(402) 488-2383
(402) 488-2384
Mailing address
249 CHERRY HILL BLVD, SUITE 5, LINCOLN, NE 68510-2645
(402) 488-2383
(402) 488-2384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3900
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05731
BLUECROSS BLUESHIELD
NE
05
—
470522452-00
—
NE
Enumeration date
10/19/2006
Last updated
07/08/2007
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