NPI 1013219633

Stark and Johnson LLC

Organisation Pediatric Dentistry Lincoln, NE

Practice location

Address: 3272 Salt Creek Cir Suite a, Lincoln, NE 68504-4759
Phone: (402) 476-1500
Fax: (402) 476-1510

Authorised official

Name: Jenni K Wall
Title: Insurance and Billing Manager
Phone: (402) 476-1500

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X

Other Dentist providers in Nebraska →

Registry record

NPI: 1013219633
Entity type: Organization
NPI issued: 2 Dec 2010
Record last updated: 12 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.