Wilderness Station Pediatric Dentistry in Lincoln - Dental
Wilderness Station Pediatric Dentistry - NPI 1568682052
Wilderness Station Pediatric Dentistry is a Dental in Lincoln, Nebraska. Wilderness Station Pediatric Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Wilderness Station Pediatric Dentistry is 1568682052. The last update date is 2014-12-23.
Wilderness Station Pediatric Dentistry's current location address is 8020 S 13th St, Lincoln, Nebraska. You can contact this provider via phone number 4024208020 and fax number 4024200367. The mailing address for Wilderness Station Pediatric Dentistry is 8020 S 13th St, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilderness Station Pediatric Dentistry |
|---|---|
| Address | 8020 S 13th St, Lincoln, Nebraska |
| Phone Number | 4024208020 |
| Fax Number | 4024200367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Killeen D. Martin |
| Credentials | DDS |
| Telephone Number | 4024208020 |
NPI Number Detail
| NPI Number | 1568682052 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2014-12-23 |
Provider Mailing Address Detail
| Address | 8020 S 13th St |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685129371 |
| Phone Number | 4024208020 |
| Fax Number | 4024200367 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 6492 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025264500 | NE | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Wilderness Station Pediatric Dentistry by the Centers for Medicare & Medicaid Services?
The Wilderness Station Pediatric Dentistry has been issued the NPI (National Provider Identifier) 1568682052. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wilderness Station Pediatric Dentistry's physical address?
The Wilderness Station Pediatric Dentistry is physically located at 8020 S 13Th St, in the city of Lincoln, NE, with the postal code 685129371.
What is Wilderness Station Pediatric Dentistry's area of expertise and its corresponding taxonomy classification?
The Wilderness Station Pediatric Dentistry's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
When did Wilderness Station Pediatric Dentistry receive its 1568682052 assignment?
The Wilderness Station Pediatric Dentistry was assigned its 1568682052 on 2007-04-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Wilderness Station Pediatric Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wilderness Station Pediatric Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-12-23.