# NEBRASKA DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053198291
- **Authorized official:** KEENAN FISCHMAN DDS (OWNER/MANAGER)
- **Authorized official phone:** (402) 331-1695

## Contact information

- **Practice address:** 8050 S 84TH ST, LA VISTA, NE 68128-3303
- **Practice address phone:** (402) 331-1695
- **Practice address fax:** (402) 614-3954
- **Mailing address:** 8050 S 84TH ST, LA VISTA, NE 68128-3303
- **Mailing address phone:** (402) 331-1695
- **Mailing address fax:** (402) 614-3954

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 09/12/2023