MIBOCA2LLC NPI 1336875574

NPI Information

  • NPI: 1336875574
  • Provider Name: MIBOCA2LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 17925 BARKER CT
    STE 100
    OMAHA, NE
    ZIP 68118
  • Phone: (402) 657-5143

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NPI Details

MIBOCA2LLC is a dental clinic center in Omaha, NE. MIBOCA2LLC NPI is 1336875574. The provider is registered as an organization entity type.

The provider's business location address is:

17925 BARKER CT
STE 100
OMAHA, NE
ZIP 68118
Phone: (402) 657-5143

The provider's authorized official is Trino Nuno .
The authorized official title is Owner/ceo and has the following contact phone number (402) 331-0701.

The enumeration date for this NPI number is 7/29/2022 and was last updated on 7/29/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

NPI Synchronization or Removal

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