Lyon Family Dentistry
Clinic/Center, Dental in Kearney, NE. Organization (NPI-2).
NPI number1184124752
StatusActive
Last updated in NPPESFeb 20, 2018
Details
- NPI
- 1184124752
- Entity type
- Organization (NPI-2)
- Legal business name
- Lyon Family Dentistry
- Organization subpart
- No
- Enumeration date
- Feb 20, 2018
- Last updated
- Feb 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 7323 | NE | Yes |
Practice location
2714 2nd AveKearney, NE 68847-4438
Phone 308-440-7895
Mailing address
4103 F AveKearney, NE 68847-2649
Phone 308-440-7895
Authorized official
Alicia D Lyon
Owner
3084407895
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All 6 Dental Clinic/Center providers in Kearney · All 1,979 providers in Kearney
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