SUPERIOR FAMILY DENTAL (NPI# 1770885410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770885410 |
| Entity Type | Organization |
| Organization Name | SUPERIOR FAMILY DENTAL |
| Practice Address |
4640 Champlain Dr Suite 105 Lincoln NE 68521-4714 |
| Practice Telephone | 4024775665 |
| Practice Fax Number | 4024771478 |
| Mailing Telephone | 4024775665 |
| Mailing Fax Number | 4024771478 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | DR. DONALD G SMITH JR. (OWNER) |
| Authorized Official Telephone | 4024775665 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4294 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1891936340 | Superior Family Dental | Dentist | 31393 W 13 Mile Rd, Suite 100, Farmington Hills, MI 48334-2297 | 2009-03-12 |
| Street Address |
4640 CHAMPLAIN DR SUITE 105 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68521-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382170 | Michael Dean Hoefs | Dentist | 4640 Champlain Dr, Suite 105, Lincoln, NE 68521-4714 | 2005-11-04 |
| 1902252521 | Wellness Pharmacy, Inc | Pharmacy | 4640 Champlain Dr, 113, Lincoln, NE 68521-4714 | 2016-05-12 |
| 1992118335 | Danielle Wasielewski | Dentist | 4640 Champlain Dr, Suite 105, Lincoln, NE 68521-4714 | 2014-06-03 |
| 1326324393 | Kayla Pham | Pharmacist | 4640 Champlain Dr, Suite 113, Lincoln, NE 68521-4714 | 2011-10-22 |
| 1467665042 | Nebraska Eye Institute | Optometrist | 4640 Champlain Dr, Suite 113, Lincoln, NE 68521-4714 | 2007-05-08 |
| 1770529000 | Erin Michele Diers | Dentist | 4640 Champlain Dr, Suite 105, Lincoln, NE 68521-4714 | 2006-06-22 |
| 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 |
| 1619529617 | Brenton Joseph Matulka | Dentist | 575 Fallbrook Blvd Ste 107, Lincoln, NE 68521-9040 | 2019-07-10 |
| 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 |
| 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.