Individual
DENNIS M CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3910 VILLAGE DR, LINCOLN, NE 68516-4783
(402) 434-7383
(402) 434-7382
Mailing address
8055 O ST, STE 300, LINCOLN, NE 68510-2580
(402) 421-0896
(402) 421-0945
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13830
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01764
BCBS
NE
01
—
1068
MIDLAND'S CHOICE
NE
Enumeration date
09/03/2006
Last updated
02/28/2008
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