# OMAHA ENDODONTISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Wave Endodontists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275677619
- **Authorized official:** DR. CACI IRENE LIEBENTRITT DDS (OWNER)
- **Authorized official phone:** (402) 390-2020

## Contact information

- **Practice address:** 15808 W. DODGE RD., STE 101, OMAHA, NE 68118
- **Practice address phone:** (402) 390-2020
- **Practice address fax:** (402) 397-3675
- **Mailing address:** 15808 W. DODGE RD., STE 101, OMAHA, NE 68118
- **Mailing address phone:** (402) 390-2020
- **Mailing address fax:** (402) 397-3675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 6128 | NE | Yes |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 02/26/2025
