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DUNDEE FAMILY DENTAL NPI 1023068673


NPI Information

NPI: 1023068673
Provider Name: DUNDEE FAMILY DENTAL

Doing Business As: WEST BLONDO FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2067 N 120TH ST
OMAHA, NE
ZIP 68164
Phone: (402) 492-8626
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DUNDEE FAMILY DENTAL is a dental clinic center in Omaha, NE. DUNDEE FAMILY DENTAL NPI is 1023068673. The provider is registered as an organization entity type.
The provider Is Doing Business As West Blondo Family Dental.

The provider's business location address is:

2067 N 120TH ST
OMAHA, NE
ZIP 68164-401
Phone: (402) 492-8626

The provider's authorized official is Sarah C Armstrong .
The authorized official title is Office Manager and has the following contact phone number (402) 492-8626.

The enumeration date for this NPI number is 5/12/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental4357NEBRASKAYes

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
110025308900MEDICAIDNEBRASKA

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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