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Organization
DENTAL MANAGEMENT SERVICES
Active
Organization
DENTAL MANAGEMENT SERVICES
Active
Other names
Emergency Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS HAROLD LIPPOLD DDS (DENTIST)
(402) 593-9911
Entity
Organization
Contact information
Practice address
11229 W DODGE RD, OMAHA, NE 68154-2617
(402) 593-9911
(402) 593-0595
Mailing address
11229 W DODGE RD, OMAHA, NE 68154-2617
(402) 593-9911
(402) 593-0595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5416
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560516
—
IA
Enumeration date
06/29/2009
Last updated
06/29/2009
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