# M.G. DDS PC

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

## Provider details

- **NPI number:** 1457472342
- **Authorized official:** DR. JENNIFER ANNE GREDER D.D.S (PRACTI)
- **Authorized official phone:** (402) 558-6220

## Contact information

- **Practice address:** 9202 W DODGE RD \#201, OMAHA, NE 68114-3246
- **Practice address phone:** (402) 558-6220
- **Practice address fax:** (402) 558-3849
- **Mailing address:** 9202 W DODGE RD \#201, OMAHA, NE 68114-3246
- **Mailing address phone:** (402) 558-6220
- **Mailing address fax:** (402) 558-3849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 01/24/2024