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Contact Information

KETU P LINCOLN, DMD
2501 CAPEHART RD
OFFUTT AFB, NE68113-1043
 Phone: 210-441-0235
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KETU P LINCOLN · (Female)

NPI Number 1316926124
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/10/2006
Last updated 05/03/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019-025880
  • IL License # 019025880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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