# FAMILY FIRST DENTAL ASSOCIATES OF COLUMBUS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family 1st Dental of Columbus West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225483290
- **Authorized official:** NADINE LEE PROSOSKI (REGIONAL COORDINATOR)
- **Authorized official phone:** (402) 640-9329

## Contact information

- **Practice address:** 3611 27TH ST, COLUMBUS, NE 68601-2397
- **Practice address phone:** (402) 564-7575
- **Practice address fax:** (402) 564-1818
- **Mailing address:** 3611 27TH ST, COLUMBUS, NE 68601-2397
- **Mailing address phone:** (402) 564-7575
- **Mailing address fax:** (402) 564-1818

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2016
- **Last updated:** 04/27/2016