# GENTLE DENTAL CARE

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

## Provider details

- **NPI number:** 1831241447
- **Authorized official:** DOYLE D. GUSTAFSON D.D.S. (PRESIDENT)
- **Authorized official phone:** (402) 391-1047

## Contact information

- **Practice address:** 10730 PACIFIC ST, SUITE 105, OMAHA, NE 68114
- **Practice address phone:** (402) 391-1047
- **Practice address fax:** (402) 391-0309
- **Mailing address:** 10730 PACIFIC ST, SUITE 105, OMAHA, NE 68114
- **Mailing address phone:** (402) 391-1047
- **Mailing address fax:** (402) 391-0309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3092 | NE | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 09/19/2008