Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF NEBRASKA, P.C.
Other names
Eastview Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
5640 SOUTH ST STE 1, LINCOLN, NE 68506-2231
(402) 489-0787
Mailing address
5640 SOUTH ST STE 1, LINCOLN, NE 68506-2231
(402) 489-0787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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