# WDL OMAHA, LLC

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

## Provider details

- **NPI number:** 1902726243
- **Authorized official:** BRENT RISING (MANAGER)
- **Authorized official phone:** (701) 799-6453

## Contact information

- **Practice address:** 5200 N 91ST AVE STE B, OMAHA, NE 68134-2749
- **Practice address phone:** (402) 330-1867
- **Mailing address:** 5200 N 91ST AVE STE B, OMAHA, NE 68134-2749

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2026
- **Last updated:** 07/17/2026