Organization
MARANATHA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN T DWORAK DDS (OWNER)
(402) 489-3837
Entity
Organization
Contact information
Practice address
1600 S. 70TH ST., STE 200, LINCOLN, NE 68506-1568
(402) 489-3837
(402) 489-3931
Mailing address
1600 S 70TH ST, STE 200, LINCOLN, NE 68506-1568
(402) 489-3837
(402) 489-3931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4314
NE
122300000X
Dentist
6116
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47063464200
—
NE
Enumeration date
04/30/2012
Last updated
04/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us