# NORTHWEST DENTAL ASSOCIATES P.C.

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

## Provider details

- **NPI number:** 1275557845
- **Authorized official:** DR. DANIEL KEVIN BYRD (PRESIDENT)
- **Authorized official phone:** (402) 575-7677

## Contact information

- **Practice address:** 5200 N 91ST AVE, OMAHA, NE 68134-2749
- **Practice address phone:** (402) 572-7677
- **Mailing address:** 5200 N 91ST AVE, OMAHA, NE 68134-2749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5711 | NE | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/22/2020