CLASSIC DENTISTRY PC NPI 1861505851

NPI Information

CLASSIC DENTISTRY PC 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. CLASSIC DENTISTRY PC NPI is 1861505851. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12123 PACIFIC ST
OMAHA, NE
ZIP 68154-527
Phone: (402) 334-4422
Fax: (402) 334-7167

The provider's authorized official is Joseph L Skradski .
The authorized official title is Ceo and has the following contact phone number (402) 334-4422.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/22/2020.

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:

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