Brenton Matulka, DMD

NPI 1619529617 · on the registry since 2019 · sole proprietor

Practice

Address: 575 Fallbrook Blvd Ste 107
Lincoln, NE 68521
Phone: (402) 467-0007
Fax: (402) 476-7873
Organisation at this address: Fallbrook Family Dentistry
Prairie Health Ventures Llc
Multiple Sclerosis Center Of Nebraska Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska