# DENTAL MANAGEMENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emergency Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902932502
- **Authorized official:** DR. SHAUN O PARKER D.D.S (MANAGER)
- **Authorized official phone:** (402) 593-9911

## Contact information

- **Practice address:** 11229 W DODGE RD, OMAHA, NE 68154-2617
- **Practice address phone:** (402) 593-9911
- **Practice address fax:** (402) 593-0595
- **Mailing address:** 11229 W DODGE RD, OMAHA, NE 68154-2617
- **Mailing address phone:** (402) 593-9911
- **Mailing address fax:** (402) 593-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4895 | NE | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0560516 | — | IA |
| 05 | — | 100252051-00 | — | NE |