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DUDZINSKI DENTAL CORP. NPI 1962795179


NPI Information

NPI: 1962795179
Provider Name: DUDZINSKI DENTAL CORP.

Doing Business As: MAPLEVIEW DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3631 N 129TH ST
OMAHA, NE
ZIP 68164
Phone: (402) 493-8320
Get Directions

DUDZINSKI DENTAL CORP. 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. DUDZINSKI DENTAL CORP. NPI is 1962795179. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mapleview Dentistry.

The provider's business location address is:

3631 N 129TH ST
OMAHA, NE
ZIP 68164-211
Phone: (402) 493-8320
Fax: (402) 884-0659

The provider's authorized official is Brinda Sillik .
The authorized official title is Office Manager and has the following contact phone number (402) 493-8320.

The enumeration date for this NPI number is 5/20/2011 and was last updated on 2/10/2020.


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
11223G0001XDentistGeneral Practice6505NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025734800MEDICAIDNEBRASKA

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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