Dental Professionals of Nebraska, PC

NPI #1043619422 in Omaha, Nebraska

Provider Information

NPI Number
1043619422
Entity Type
Organization
Organization Name
Dental Professionals of Nebraska, PC
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 21, 2014
Last Updated
Aug 21, 2014

Practice Location

Address
3585 N 168TH CT
City
Omaha
ZIP Code
68116-2201
Phone
(402) 415-0283

Authorized Official

Name
KENDRA WALKER
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8312

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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