Provider Demographics
NPI:1801610514
Name:VALENTI, LYNSEY MARIE (RDH, BS, OMT)
Entity type:Individual
Prefix:
First Name:LYNSEY
Middle Name:MARIE
Last Name:VALENTI
Suffix:
Gender:F
Credentials:RDH, BS, OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 ASH ST
Mailing Address - Street 2:
Mailing Address - City:DWIGHT
Mailing Address - State:NE
Mailing Address - Zip Code:68635-3078
Mailing Address - Country:US
Mailing Address - Phone:402-641-5440
Mailing Address - Fax:
Practice Address - Street 1:137 N 7TH ST
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2017
Practice Address - Country:US
Practice Address - Phone:402-641-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2413124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty