Organization
BOLAMPERTI FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY DIXON (OFFICE MANAGER)
(402) 330-2007
Entity
Organization
Contact information
Practice address
14801 W CENTER RD, OMAHA, NE 68144-3298
(402) 330-2007
(402) 330-2594
Mailing address
14801 W CENTER RD, OMAHA, NE 68144-3298
(402) 330-2007
(402) 330-2594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3748
NE
1223G0001X
General Practice Dentistry
Primary
4481
NE
1223G0001X
General Practice Dentistry
6749
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025648800
—
NE
05
—
47049503201
—
NE
05
—
47058325901
—
NE
Enumeration date
03/16/2010
Last updated
03/16/2010
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