Organization
PEDIATRIC DENTAL ARTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA JILL SVEEN D.D.S., M.S. (PRESIDENT)
(402) 434-3367
Entity
Organization
Contact information
Practice address
7001 A ST, SUITE 103, LINCOLN, NE 68510-4299
(402) 434-3367
(402) 434-3368
Mailing address
7001 A ST, SUITE 103, LINCOLN, NE 68510-4299
(402) 434-3367
(402) 434-3368
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5241
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026205700
—
NE
05
—
47069564500
—
NE
Enumeration date
06/22/2012
Last updated
12/10/2015
Update your record
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