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SUMMIT DENTAL ASSOCIATES NPI 1073783452


NPI Information

NPI: 1073783452
Provider Name: SUMMIT DENTAL ASSOCIATES

Doing Business As: RAINBOW DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3932 S 24TH ST
OMAHA, NE
ZIP 68107
Phone: (402) 733-3932
Get Directions

SUMMIT DENTAL ASSOCIATES is a general practice dentist in Omaha, NE. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SUMMIT DENTAL ASSOCIATES NPI is 1073783452. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Rainbow Dental Center.

The provider's business location address is:

3932 S 24TH ST
OMAHA, NE
ZIP 68107-849
Phone: (402) 733-3932
Fax: (402) 733-1933

The provider's authorized official is Holly V Stoakes .
The authorized official title is Account Manager and has the following contact phone number (402) 733-3932.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========13MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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