# DR GREGORY K OLIVER PC

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

## Provider details

- **NPI number:** 1619047784
- **Authorized official:** CANDACE R OLIVER (FRONT OFFICE ASSISTANT)
- **Authorized official phone:** (402) 827-3434

## Contact information

- **Practice address:** 2945 N 108TH ST, OMAHA, NE 68164
- **Practice address phone:** (402) 827-3434
- **Practice address fax:** (402) 827-3436
- **Mailing address:** 2945 N 108TH ST, OMAHA, NE 68164
- **Mailing address phone:** (402) 827-3434
- **Mailing address fax:** (402) 827-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6186 | NE | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 10/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05738 | BLUE CROSS BLUE SHIELD | — |
| 05 | — | 1619047784 | — | NE |