# DENTAL PROFESSIONALS OF NEBRASKA, PC

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

## Provider details

- **NPI number:** 1558772681
- **Legal business name:** DENTAL PROFESSIONALS OF NEBRASKA, PC
- **Authorized official:** ALLISON VARNER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-6077

## Contact information

- **Practice address:** 3615 SUMMIT PLAZA DR, SUITE 101, BELLEVUE, NE 68123-1003
- **Practice address phone:** (402) 881-8069
- **Mailing address:** 3615 SUMMIT PLAZA DR, SUITE 101, BELLEVUE, NE 68123-1003
- **Mailing address phone:** (402) 881-8069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6878 | NE | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 05/12/2014
