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GREAT PLAINS DENTAL SPECIALISTS PC NPI 1669834693


NPI Information

NPI: 1669834693
Provider Name: GREAT PLAINS DENTAL SPECIALISTS, PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
615 N 90TH ST
OMAHA, NE
ZIP 68114
Phone: (402) 330-4100
Get Directions

GREAT PLAINS DENTAL SPECIALISTS, PC 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. GREAT PLAINS DENTAL SPECIALISTS, PC NPI is 1669834693. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 N 90TH ST
OMAHA, NE
ZIP 68114-821
Phone: (402) 330-4100
Fax: (402) 330-4103

The provider's authorized official is Robert Cline .
The authorized official title is President/owner and has the following contact phone number (402) 330-4100.

The enumeration date for this NPI number is 3/29/2016 and was last updated on 3/29/2016.


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
11223P0300XDentistPeriodonticsYes

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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