# DENTAL PROFESSIONALS OF NEBRASKA, PC

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

## Provider details

- **NPI number:** 1497281745
- **Legal business name:** DENTAL PROFESSIONALS OF NEBRASKA, PC
- **Authorized official:** KENDRA WALKER (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (217) 821-7249

## Contact information

- **Practice address:** 17810 PIERCE PLAZA, SUITE 100, OMAHA, NE 68130
- **Practice address phone:** (402) 608-2702
- **Mailing address:** 17810 PIERCE PLAZA, SUITE 100, OMAHA, NE 68130

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2017
- **Last updated:** 05/05/2017