# DENTAL PROFESSIONALS OF NEBRASKA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF NEBRASKA, PC
- **Other names:** Papillion Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376947531
- **Legal business name:** DENTAL PROFESSIONALS OF NEBRASKA, PC
- **Authorized official:** KENDRA WALKER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8312

## Contact information

- **Practice address:** 8420 S 71ST PLZ, SUITE 107, PAPILLION, NE 68133-2138
- **Practice address phone:** (402) 682-7579
- **Mailing address:** 8420 S 71ST PLZ, SUITE 107, PAPILLION, NE 68133-2138
- **Mailing address phone:** (402) 682-7579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7180 | NE | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 10/17/2014