# PREMIER SMILE DENTAL ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104162601
- **Authorized official:** DR. DANIEL J BENINATO D.D.S. (OWNER)
- **Authorized official phone:** (402) 330-6757

## Contact information

- **Practice address:** 17110 LAKESIDE HILLS PLAZA, OMAHA, NE 68130
- **Practice address phone:** (402) 330-6757
- **Practice address fax:** (402) 330-6713
- **Mailing address:** 17110 LAKESIDE HILLS PLAZA, OMAHA, NE 68130
- **Mailing address phone:** (402) 330-6757
- **Mailing address fax:** (402) 330-6713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6254 | NE | Yes |

## Other

- **Enumeration date:** 01/02/2013
- **Last updated:** 03/06/2022