DENENBERG FACIAL PLASTIC SURGERY NPI 1669696878

NPI Information

DENENBERG FACIAL PLASTIC SURGERY is an ambulatory surgical clinic center in Omaha, NE. DENENBERG FACIAL PLASTIC SURGERY NPI is 1669696878. The provider is registered as an organization entity type.

The provider's business location address is:

7640 PACIFIC ST
OMAHA, NE
ZIP 68114-421
Phone: (402) 391-7640
Fax: (402) 391-6352

The provider's authorized official is Steven M. Denenberg .
The authorized official title is President and has the following contact phone number (402) 391-7640.

The CLIA number assigned to this NPI record is 28D1085526 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 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:

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