SUPERIOR FAMILY DENTAL 107TH NPI 1174862684

NPI Information

SUPERIOR FAMILY DENTAL 107TH is a dental clinic center in Omaha, NE. SUPERIOR FAMILY DENTAL 107TH NPI is 1174862684. The provider is registered as an organization entity type.
The provider Is Doing Business As Superior Family Dental.

The provider's business location address is:

10730 PACIFIC ST
STE105
OMAHA, NE
ZIP 68114-799
Phone: (402) 391-1047
Fax: (402) 391-0309

The provider's authorized official is Donald G Smith .
The authorized official title is Owner and has the following contact phone number (402) 391-1047.

The enumeration date for this NPI number is 2/4/2013 and was last updated on 2/4/2013.

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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