# UNIVERSITY DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1780772301
- **Authorized official:** DR. DAVID GENE BERKHEIM DDS (EXECUTIVE DIERECTOR)
- **Authorized official phone:** (402) 472-2345

## Contact information

- **Practice address:** 4000 E CAMPUS LOOP S RM 2037, LINCOLN, NE 68583-0740
- **Practice address phone:** (402) 472-8900
- **Practice address fax:** (402) 472-0048
- **Mailing address:** 4000 E CAMPUS LOOP S RM 2037, LINCOLN, NE 68583-0740
- **Mailing address phone:** (402) 472-8900
- **Mailing address fax:** (402) 472-0048

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 01/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 576249 | — | IA |