Summit Dental Associates

NPI #1073783452 in Omaha, Nebraska

Provider Information

NPI Number: 1073783452
Entity Type: Organization
Organization Name: Summit Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 3, 2008
Last Updated: Apr 20, 2008

Practice Location

Address: 3932 S 24TH ST
City: Omaha
State: Nebraska
ZIP Code: 68107-1849
Phone: (402) 733-3932

Authorized Official

Name: HOLLY V STOAKES
Title: ACCOUNT MANAGER
Phone: (402) 733-3932

Specialties & Taxonomy Codes

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

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