# DENTAL PROFESSIONALS OF NEBRASKA, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF NEBRASKA, P.C.
- **Other names:** 370 Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124848254
- **Legal business name:** DENTAL PROFESSIONALS OF NEBRASKA, P.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CRED COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 19013 OAKMONT DR, OMAHA, NE 68136-4345
- **Practice address phone:** (804) 575-3320
- **Practice address fax:** (804) 575-3324
- **Mailing address:** 15884 HULL STREET RD, CHESTERFIELD, VA 23832-2178
- **Mailing address phone:** (804) 575-3320
- **Mailing address fax:** (804) 575-3324

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2024
- **Last updated:** 10/21/2024