Nebraska Dental Center

NPI #1053198291 in La Vista, Nebraska

Provider Information

NPI Number: 1053198291
Entity Type: Organization
Organization Name: Nebraska Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 8050 S 84TH ST
City: La Vista
State: Nebraska
ZIP Code: 68128-3303
Phone: (402) 331-1695

Authorized Official

Name: KEENAN FISCHMAN, DDS
Title: OWNER/MANAGER
Phone: (402) 331-1695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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