Summit Dental Health - Old Market LLC

NPI #1235547050 in Omaha, Nebraska

Provider Information

NPI Number: 1235547050
Entity Type: Organization
Organization Name: Summit Dental Health - Old Market LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 24, 2014
Last Updated: Jul 24, 2014

Practice Location

Address: 1105 HOWARD ST
City: Omaha
State: Nebraska
ZIP Code: 68102-2841
Phone: (402) 502-4424

Authorized Official

Name: STEVE JAMES
Title: CFO
Phone: (502) 254-8504

Specialties & Taxonomy Codes

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

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