# NICOLE LECCI DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 90th t Dodge Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295344406
- **Authorized official:** NICOLE JANINE LECCI DDS (OWNER/DENTIST)
- **Authorized official phone:** (402) 670-0146

## Contact information

- **Practice address:** 8910 INDIAN HILLS DRIVE, SUITE 200, OMAHA, NE 68114
- **Practice address phone:** (402) 397-3400
- **Mailing address:** 8910 INDIAN HILLS DRIVE, SUITE 200, OMAHA, NE 68114
- **Mailing address phone:** (402) 397-3400

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2020
- **Last updated:** 07/24/2020