OrganizationActive
Stark and Johnson LLC
NPI 1407105299 · Pediatric Dentistry · Lincoln, NE
Provider details
- NPI number
- 1407105299
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Stark and Johnson, LLC
- Organization subpart
- Yes
- Authorized official
- Jenni Wall, Insurance and Billing Manager(402) 476-1500
Specialties & taxonomies
Dental Providers
Practice location
4301 S 80th St
Suite a
Lincoln, NE 68516-4404
Phone: (402) 476-4301
Fax: (402) 476-4305
Approximate (ZIP-level) locationGet directions
Mailing address
4301 S 80th St
Lincoln, NE 68516-4404
Other names (DBA / former)
- Doing business as
- Lincoln Pediatric Dentistry
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2022-01-12
- Certified
- 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.