# HILLSBOROUGH FAMILY DENTISTRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811088693
- **Authorized official:** DR. JAY DANIEL SAMUELSON D.D.S. (PRESIDENT)
- **Authorized official phone:** (402) 445-4647

## Contact information

- **Practice address:** 13808 W MAPLE RD, SUITE 112, OMAHA, NE 68164-6231
- **Practice address phone:** (402) 445-4647
- **Practice address fax:** (402) 445-8370
- **Mailing address:** 13808 W MAPLE RD, SUITE 112, OMAHA, NE 68164-6231
- **Mailing address phone:** (402) 445-4647
- **Mailing address fax:** (402) 445-8370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6078 | NE | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020