Organization
LONNIE R. FLAGTWET, DDS
Active
Other names
Prairie Skies Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE R. FLAGTWET DDS (OWNER)
(402) 483-6662
Entity
Organization
Contact information
Practice address
7121 STEPHANIE LN STE 112, LINCOLN, NE 68516-5324
(402) 483-6662
Mailing address
7121 STEPHANIE LN STE 112, LINCOLN, NE 68516-5324
(402) 483-6662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598784472
INDIVIDUAL NPI
—
Enumeration date
10/03/2018
Last updated
10/03/2018
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