# SUMMIT DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rainbow Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336319714
- **Authorized official:** HOLLY V STOAKES (ACCOUNT MANAGER)
- **Authorized official phone:** (402) 333-3151

## Contact information

- **Practice address:** 2503 S 140TH CIR, OMAHA, NE 68144-2315
- **Practice address phone:** (402) 333-3151
- **Practice address fax:** (402) 697-9244
- **Mailing address:** 2503 S 140TH CIR, OMAHA, NE 68144-2315
- **Mailing address phone:** (402) 333-3151
- **Mailing address fax:** (402) 697-9244

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025568500 | — | NE |