# SUMMIT DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1518137991
- **Authorized official:** HOLLY V STOAKES (ACCOUNT MANAGER)
- **Authorized official phone:** (402) 884-1174

## Contact information

- **Practice address:** 8041 S 83RD AVE, LAVISTA, NE 68128-2490
- **Practice address phone:** (402) 884-1174
- **Practice address fax:** (402) 884-5567
- **Mailing address:** 8041 S 83RD AVE, LAVISTA, NE 68128-2490
- **Mailing address phone:** (402) 884-1174
- **Mailing address fax:** (402) 884-5567

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025389000 | — | NE |