MONTCLAIR DENTAL PC NPI 1912212804

NPI Information

MONTCLAIR DENTAL, 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. MONTCLAIR DENTAL, PC NPI is 1912212804. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Montclair Dental Associates, Pc.

The provider's business location address is:

13057 W CENTER ROAD
SUITE 15
OMAHA, NE
ZIP 68144-723
Phone: (402) 333-5337
Fax: (402) 333-5346

The provider's authorized official is David Scott Olson .
The authorized official title is Owner and has the following contact phone number (402) 333-5337.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 3/13/2012.

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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