# DENTAL CARE CENTER PC

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

## Provider details

- **NPI number:** 1063778132
- **Authorized official:** PROF. MICHAEL P SWEENEY DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (402) 592-1773

## Contact information

- **Practice address:** 7975 L ST, OMAHA, NE 68127-1731
- **Practice address phone:** (402) 592-1773
- **Practice address fax:** (402) 932-2547
- **Mailing address:** 7975 L ST, OMAHA, NE 68127-1731
- **Mailing address phone:** (402) 592-1773
- **Mailing address fax:** (402) 932-2547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4890 | NE | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 04/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0905463 | — | IA |
| 01 | — | 473184 | UNITED CONCORDIA | — |
| 01 | — | 5366 | BLUE CROSS BLUE SHIELD OF NEBRASKA | NE |
