OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC NPI 1285278028

NPI Information

OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC is a periodontics dentist in Omaha, NE. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC NPI is 1285278028. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

624 N 129TH ST STE 200
OMAHA, NE
ZIP 68154-110
Phone: (402) 431-8688

The provider's authorized official is Erica E Jasa .
The authorized official title is Periodontist and has the following contact phone number (402) 431-8688.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 11/5/2019.

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:

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