Northwest Dental, LLC

NPI #1073406716 in Omaha, Nebraska

Provider Information

NPI Number: 1073406716
Entity Type: Organization
Organization Name: Northwest Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 2, 2025
Last Updated: Jun 2, 2025

Practice Location

Address: 5200 N 91ST AVE
City: Omaha
State: Nebraska
ZIP Code: 68134-2749
Phone: (402) 572-7677

Authorized Official

Name: BRENT RISING
Title: MEMBER
Phone: (701) 799-6453

Specialties & Taxonomy Codes

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

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