Individual
DR. MICHAEL EDWARD DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
600 N COTNER BLVD, STE. 306, LINCOLN, NE 68505-2343
(402) 466-5602
(402) 466-5637
Mailing address
600 N COTNER BLVD, STE. 306, LINCOLN, NE 68505-2343
(402) 466-5602
(402) 466-5637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4736
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5395
BLUE CROSS BLUE SHIELD
NE
01
—
540275
UNITED CONCORDIA
NE
Enumeration date
04/10/2007
Last updated
07/08/2007
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