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VILLAGE POINTE ORAL SURGERY P.C. NPI 1306466081


NPI Information

NPI: 1306466081
Provider Name: VILLAGE POINTE ORAL SURGERY P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 28D2106656

Address:
17121 MARCY ST STE 102
OMAHA, NE
ZIP 68118
Phone: (402) 317-5657
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VILLAGE POINTE ORAL SURGERY P.C. is an oral and maxillofacial surgery dentist in Omaha, NE. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. VILLAGE POINTE ORAL SURGERY P.C. NPI is 1306466081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17121 MARCY ST STE 102
OMAHA, NE
ZIP 68118-133
Phone: (402) 317-5657
Fax: (402) 317-5647

The provider's authorized official is Nicole M Toombs .
The authorized official title is Practice Administrator and has the following contact phone number (402) 317-5657.

The CLIA number assigned to this NPI record is 28D2106656 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/22/2020 and was last updated on 4/22/2020.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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