# DENTAL BASICS PC

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

## Provider details

- **NPI number:** 1932416278
- **Authorized official:** HAL T RITCHIE DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 384-8414

## Contact information

- **Practice address:** 920 S 107TH AVE STE 106, OMAHA, NE 68114-4719
- **Practice address phone:** (402) 384-8414
- **Mailing address:** 920 S 107TH AVE STE 106, OMAHA, NE 68114-4719

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 09/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025200700 | — | NE |