Premier Smile Dental Associates, PC

NPI #1104162601 in Omaha, Nebraska

Provider Information

NPI Number: 1104162601
Entity Type: Organization
Organization Name: Premier Smile Dental Associates, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 2, 2013
Last Updated: Mar 6, 2022

Practice Location

Address: 17110 LAKESIDE HILLS PLAZA
City: Omaha
State: Nebraska
ZIP Code: 68130
Phone: (402) 330-6757

Authorized Official

Name: DR. DANIEL J BENINATO, D.D.S.
Title: OWNER
Phone: (402) 330-6757

Specialties & Taxonomy Codes

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

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