Dental Professionals of Nebraska, PC

NPI #1558772681 in Bellevue, Nebraska

Provider Information

NPI Number: 1558772681
Entity Type: Organization
Organization Name: Dental Professionals of Nebraska, PC
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF NEBRASKA, PC
Primary Specialty: Dentist
Enumeration Date: May 12, 2014
Last Updated: May 12, 2014

Practice Location

Address: 3615 SUMMIT PLAZA DR
Address 2: SUITE 101
City: Bellevue
State: Nebraska
ZIP Code: 68123-1003
Phone: (402) 881-8069

Authorized Official

Name: ALLISON VARNER
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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