DYLAN C GAILLARD DDS LLC NPI 1700373602

NPI Information

NPI: 1700373602
Provider Name: DYLAN C GAILLARD, DDS, LLC

Doing Business As: GEORGETOWNE FAMILY DENTISTRY

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

Specialization: Dental

Address:
2526 S 140TH ST
OMAHA, NE
ZIP 68144
Phone: (402) 333-6080
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DYLAN C GAILLARD, DDS, LLC is a dental clinic center in Omaha, NE. DYLAN C GAILLARD, DDS, LLC NPI is 1700373602. The provider is registered as an organization entity type.
The provider Is Doing Business As Georgetowne Family Dentistry.

The provider's business location address is:

2526 S 140TH ST
OMAHA, NE
ZIP 68144-339
Phone: (402) 333-6080
Fax: (402) 333-6024

The provider's authorized official is Dylan C Gaillard .
The authorized official title is Dentist/owner and has the following contact phone number (402) 330-6080.

The enumeration date for this NPI number is 4/16/2018 and was last updated on 4/16/2018.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 11/14/2023

NPI Synchronization or Removal

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