Prairie Dental Group Llc in Lincoln - Dentist
Prairie Dental Group Llc - NPI 1336290824
Prairie Dental Group Llc is a Dentist in Lincoln, Nebraska. Prairie Dental Group Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Prairie Dental Group Llc is 1336290824. The last update date is 2020-08-22.
Prairie Dental Group Llc's current location address is 6944 A St, Lincoln, Nebraska. You can contact this provider via phone number 4024837597. The mailing address for Prairie Dental Group Llc is 6944 A St, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Dental Group Llc |
|---|---|
| Address | 6944 A St, Lincoln, Nebraska |
| Phone Number | 4024837597 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reid Rae Christina |
| Credentials | DDS |
| Telephone Number | 4024837595 |
NPI Number Detail
| NPI Number | 1336290824 |
|---|---|
| Provider Enumeration Date | 2007-01-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6944 A St |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685104112 |
| Phone Number | 4024837597 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6673 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Prairie Dental Group Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Prairie Dental Group Llc has been assigned the NPI (National Provider Identifier) 1336290824. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Prairie Dental Group Llc?
The Prairie Dental Group Llc is physically situated at 6944 A St, in the city of Lincoln, state of NE, with the postal code 685104112.
What is the Prairie Dental Group Llc's area of specialization and corresponding taxonomy classification?
The Prairie Dental Group Llc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Prairie Dental Group Llc receive its 1336290824 assignment from the Centers for Medicare & Medicaid Services?
The Prairie Dental Group Llc was assigned its 1336290824 on 2007-01-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Prairie Dental Group Llc most recently updated or refreshed?
The details pertaining to the Prairie Dental Group Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC