# CLASSIC DENTISTRY PC

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

## Provider details

- **NPI number:** 1861505851
- **Authorized official:** DR. JOSEPH L SKRADSKI DDS (CEO)
- **Authorized official phone:** (402) 334-4422

## Contact information

- **Practice address:** 12123 PACIFIC ST, OMAHA, NE 68154-3527
- **Practice address phone:** (402) 334-4422
- **Practice address fax:** (402) 334-7167
- **Mailing address:** 12123 PACIFIC ST, OMAHA, NE 68154-3527
- **Mailing address phone:** (402) 334-4422
- **Mailing address fax:** (402) 334-7167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5489 | NE | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020