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NE SPECIALTY DENTAL SERVICES LLC NPI 1790449247


NPI Information

NPI: 1790449247
Provider Name: NE SPECIALTY DENTAL SERVICES LLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
13215 BIRCH DR STE 100
OMAHA, NE
ZIP 68164
Phone: (402) 390-0770
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NE SPECIALTY DENTAL SERVICES LLC is an oral and maxillofacial surgery clinic center in Omaha, NE. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NE SPECIALTY DENTAL SERVICES LLC NPI is 1790449247. The provider is registered as an organization entity type.

The provider's business location address is:

13215 BIRCH DR STE 100
OMAHA, NE
ZIP 68164-431
Phone: (402) 390-0770

The provider's authorized official is Charlotte Dasch .
The authorized official title is Director Of Provider Relationd and has the following contact phone number (504) 638-0303.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.


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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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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