NPI 1043727092

Williamsburg Dental LLC

Organisation General Practice Dentistry Lincoln, NE

Practice location

Address: 1265 S Cotner Blvd, Lincoln, NE 68510-4975
Phone: (402) 420-2222
Mailing address: 6930 L St STE B, Lincoln, NE 68510-2456

Authorised official

Name: Bonnie L Gall
Title: Clinical Coordinator
Phone: (402) 904-6005

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5965 (NE)

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Registry record

NPI: 1043727092
Entity type: Organization
NPI issued: 29 Dec 2017
Record last updated: 29 Dec 2017

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.