Dental Professionals Of Nebraska, PC
Dentist, General Practice in Lincoln, NE. Organization (NPI-2).
NPI number1043086366
StatusActive
Last updated in NPPESNov 28, 2023
Details
- NPI
- 1043086366
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professionals Of Nebraska, PC
- Organization subpart
- Yes
- Enumeration date
- Nov 28, 2023
- Certification date
- Nov 28, 2023
- Last updated
- Nov 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Eastview Family Dental (Doing Business As)
Practice location
5640 South St Ste 1Lincoln, NE 68506-2231
Phone 402-489-0787
Mailing address
5640 South St Ste 1Lincoln, NE 68506-2231
Phone 402-489-0787
Authorized official
Cemyira McDougal
Credentialing Coordinator
2177648609
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