# NBD BEL DRIVE LLC

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

## Provider details

- **NPI number:** 1184119547
- **Authorized official:** MELISSA RYAN (HR DIRECTOR)
- **Authorized official phone:** (605) 261-8167

## Contact information

- **Practice address:** 2456 S 120TH ST, OMAHA, NE 68144
- **Practice address phone:** (402) 333-1313
- **Practice address fax:** (402) 333-0777
- **Mailing address:** 2456 S 120TH ST, OMAHA, NE 68144
- **Mailing address phone:** (402) 333-1313
- **Mailing address fax:** (402) 333-0777

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2018
- **Last updated:** 05/27/2021