Organization
JAMES AND SOUKUP DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA JEANNE SOUKUP DDS (PARTNER)
(402) 476-8058
Entity
Organization
Contact information
Practice address
100 N 12TH ST, #502 CENTERSTONE, LINCOLN, NE 68508-1410
(402) 476-8058
(402) 476-1763
Mailing address
100 N 12TH ST, #502 CENTERSTONE, LINCOLN, NE 68508-1410
(402) 476-8058
(402) 476-1763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6260
NE
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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