Dr. Mark Vanicek
Dental Clinic/Center in Lincoln, NE(View on Map)
Legal Business Name
Dr. Mark Vanicek
NPI Number
1417216722
NPI Type
Organization
Enumeration Date
05/07/2012
Specialties
(Taxonomies)Licenses
State
Nebraska
License Number
5311
Contact
Information
Purpose
Mailing
Location
Address
7621 KENNELLEY DR
6101 VILLAGE DR STE 102
City
Lincoln
Lincoln
State
NE
NE
Postal Code
68516-3797
68516-5830
Country
US
US
Telephone Number
(402) 420-2600
(402) 420-2600
Authorized Official
Name
Mark Vanicek
Title or Position
DDS
Telephone Number
(402) 420-2600
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/07/2012
Provider Address
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