Organization
SUPERIOR DENTAL HEALTH BLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD G. SMITH JR. DDS (DENTIST/OWNER)
(402) 730-9235
Entity
Organization
Contact information
Practice address
1904 SOUTH ST, SUITE 103, BLAIR, NE 68008-1964
(402) 426-3334
Mailing address
4640 CHAMPLAIN DR, SUITE 105, LINCOLN, NE 68521-4714
(402) 730-9235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4294
NE
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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