# LIFETIME FAMILY DENTAL, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417275611
- **Authorized official:** CATHE Z (BUSINESS COORDINATOR)
- **Authorized official phone:** (402) 330-6757

## Contact information

- **Practice address:** 2323 S 171ST ST, SUITE 104, OMAHA, NE 68130-4651
- **Practice address phone:** (402) 334-4804
- **Practice address fax:** (402) 334-4755
- **Mailing address:** 2323 S 171ST ST, SUITE 104, OMAHA, NE 68130-4651
- **Mailing address phone:** (402) 334-4804
- **Mailing address fax:** (402) 334-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6854 | NE | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/12/2010