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ADVANCED ENDODONTIC THERAPY PC NPI 1154570745


NPI Information

NPI: 1154570745
Provider Name: ADVANCED ENDODONTIC THERAPY, PC

Doing Business As: ADVANCED ENDODONTIC THERAPY

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
18015 OAK ST
SUITE A
OMAHA, NE
ZIP 68130
Phone: (402) 763-4929
Get Directions

ADVANCED ENDODONTIC THERAPY, PC is an endodontics dentist in Omaha, NE. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ADVANCED ENDODONTIC THERAPY, PC NPI is 1154570745. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Endodontic Therapy.

The provider's business location address is:

18015 OAK ST
SUITE A
OMAHA, NE
ZIP 68130-093
Phone: (402) 763-4929
Fax: (402) 502-5990

The provider's authorized official is Jacob Lee Fimple .
The authorized official title is President and has the following contact phone number (402) 763-4929.

The enumeration date for this NPI number is 9/18/2008 and was last updated on 9/18/2008.


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
11223E0200XDentistEndodontics6675NEBRASKAYes

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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