Organization
SUPERIOR FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD G SMITH JR. DDS (OWNER)
(402) 477-5665
Entity
Organization
Contact information
Practice address
4640 CHAMPLAIN DR, SUITE 105, LINCOLN, NE 68521-4714
(402) 477-5665
(402) 477-1478
Mailing address
4640 CHAMPLAIN DR, SUITE 105, LINCOLN, NE 68521-4714
(402) 477-5665
(402) 477-1478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4294
NE
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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