# VILLAGE POINTE ORAL SURGERY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VILLAGE POINTE ORAL SURGERY, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306466081
- **Legal business name:** VILLAGE POINTE ORAL SURGERY, P.C.
- **Authorized official:** NICOLE M TOOMBS MHA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (402) 317-5657

## Contact information

- **Practice address:** 17121 MARCY ST STE 102, OMAHA, NE 68118-3133
- **Practice address phone:** (402) 317-5657
- **Practice address fax:** (402) 317-5647
- **Mailing address:** 17121 MARCY ST STE 102, OMAHA, NE 68118-3133
- **Mailing address phone:** (402) 317-5657
- **Mailing address fax:** (402) 317-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 04/22/2020
