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NPI 1013219633

OrganizationActive

Stark and Johnson LLC

NPI 1013219633 · Pediatric Dentistry · Lincoln, NE

Provider details

NPI number: 1013219633
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Authorized official: Jenni Wall, Insurance and Billing Manager

Practice location

3272 Salt Creek Cir

Suite a

Lincoln, NE 68504-4759

Phone: (402) 476-1500

Fax: (402) 476-1510

More NE providers

Mailing address

3272 Salt Creek Cir

Lincoln, NE 68504-4759

Registry dates

Enumerated: 2010-12-02
Last updated: 2022-01-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Stark and Johnson LLC — NPI 1013219633, Lincoln, NE | NPI Central