# DENTAL PROFESSIONALS OF NEBRASKA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF NEBRASKA, P.C.
- **Other names:** Eastview Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043086366
- **Legal business name:** DENTAL PROFESSIONALS OF NEBRASKA, P.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 5640 SOUTH ST STE 1, LINCOLN, NE 68506-2231
- **Practice address phone:** (402) 489-0787
- **Mailing address:** 5640 SOUTH ST STE 1, LINCOLN, NE 68506-2231
- **Mailing address phone:** (402) 489-0787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023