Ne Specialty Dental Services LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Omaha, NE. Organization (NPI-2).
NPI number1114767167
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1114767167
- Entity type
- Organization (NPI-2)
- Legal business name
- Ne Specialty Dental Services LLC
- Organization subpart
- Yes
- Enumeration date
- May 28, 2024
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
8901 Indian Hills Dr Ste 250Omaha, NE 68114-4033
Phone 402-558-0035
Mailing address
1610 54th Ave N Ste 205Nashville, TN 37209-1442
Phone 615-678-0759
Authorized official
Charlotte Dasch
Director Of Cred And Prov Rel
5046380303
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