# BURCHFIEL DENTAL AESTHETIC & COMPREHENSIVE P.C.

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

## Provider details

- **NPI number:** 1437422938
- **Authorized official:** DR. TIMOTHY PATRICK BURCHFIEL D.D.S. (OWNER)
- **Authorized official phone:** (402) 492-9398

## Contact information

- **Practice address:** 628 N 129TH ST, OMAHA, NE 68154-6107
- **Practice address phone:** (402) 492-9398
- **Practice address fax:** (402) 431-0226
- **Mailing address:** 628 N 129TH ST, OMAHA, NE 68154-6107
- **Mailing address phone:** (402) 492-9398
- **Mailing address fax:** (402) 431-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6494 | NE | Yes |

## Other

- **Enumeration date:** 02/14/2012
- **Last updated:** 02/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025757900 | — | NE |