DR. BRENTON JOSEPH MATULKA (NPI# 1619529617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619529617 |
| Entity Type | Individual |
| Full Name | DR. BRENTON JOSEPH MATULKA |
| Credential | DMD |
| Practice Address |
575 Fallbrook Blvd Ste 107 Lincoln NE 68521-9040 |
| Practice Telephone | 4024670007 |
| Practice Fax Number | 4024767873 |
| Mailing Telephone | 4024670007 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7575 | NE | Dental Providers |
| Street Address |
575 FALLBROOK BLVD STE 107 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68521-9040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
| 1093168056 | Alyssa Cattle | Dentist | 1649 La Plata Court, Lincoln, NE 68521 | 2016-07-14 |
| 1831538131 | Angela Jo Curran | Nurse Practitioner | 1411 Superior St, Lincoln, NE 68521 | 2013-06-19 |
| 1093089401 | Nancy L Dostal | Pharmacist | 1404 Superiort St., Lincoln, NE 68521 | 2012-03-02 |
| 1225274301 | Nicole Ann Ford | Dietitian, Registered | 5020 N. 27th St, Hy-vee, Lincoln, NE 68521 | 2008-12-19 |
| 1972769685 | Concentra Health Services, Inc. | Clinic/Center | 4900 N 26th Street, #104, Lincoln, NE 68521 | 2008-08-01 |
| 1649446261 | Megan Kristin Classen | Occupational Therapist | 5000 N 26th St Ste 400, Lincoln, NE 68521 | 2008-05-03 |
| 1720278526 | David Bruce Hilsabeck | Counselor | 6109 Nw 9th St, Lincoln, NE 68521 | 2007-07-27 |
| 1871648386 | Douglas C Rienks | Optometrist | 2550 Superior Street, Suite 150, Lincoln, NE 68521 | 2007-01-24 |
| 1518014869 | Carol J Niemann | Counselor | 4000 N 23erd St., Lincoln, NE 68521 | 2007-01-05 |
| Find all providers in zip 68521 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854692 | Justin Marino | Dentist | 6 Blackstone Valley Pl Bldg 3, Lincoln, RI 02865-1179 | 2020-09-03 |
| 1053922534 | Chelsea Glissman | Dentist | 751 Sterling Pkwy Ste 100, Lincoln, CA 95648-7313 | 2020-08-10 |
| 1275150401 | Vy T Vu | Dentist | 6835 S 27th St Ste 2, Lincoln, NE 68512-4824 | 2020-07-03 |
| 1326664483 | Robert Kirkland | Dentist | 1919 S 40th St Ste 200, Lincoln, NE 68506-5247 | 2020-06-24 |
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1912472192 | Lonnie R. Flagtwet, Dds | Dentist | 7121 Stephanie Ln Ste 112, Lincoln, NE 68516-5324 | 2018-10-03 |
| 1033695366 | Callie R Krajicek | Dentist | Williamsburg Dental 6930 L St., Ste B, Lincoln, NE 68510-6851 | 2018-07-19 |
| 1659857522 | Chantel Rueb Keller | Dentist | 2915 Channel Dr, Lincoln, NE 68516-4985 | 2018-07-13 |
| 1124504311 | Christopher Sullivan | Dentist | 1320 W A St, Lincoln, NE 68522-1231 | 2018-07-11 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.