Individual
DR. BENJAMIN PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
343 N COTNER BLVD, LINCOLN, NE 68505-2315
(402) 466-1914
Mailing address
3101 CRESCENT DR APT 315, LINCOLN, NE 68516-1076
(505) 850-3407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7809
NE
Other
Enumeration date
06/01/2022
Last updated
07/11/2023
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