Organization
DENTAL CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. MICHAEL P SWEENEY DDS (PRESIDENT/OWNER)
(402) 592-1773
Entity
Organization
Contact information
Practice address
7975 L ST, OMAHA, NE 68127-1731
(402) 592-1773
(402) 932-2547
Mailing address
7975 L ST, OMAHA, NE 68127-1731
(402) 592-1773
(402) 932-2547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4890
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905463
—
IA
01
—
473184
UNITED CONCORDIA
—
01
—
5366
BLUE CROSS BLUE SHIELD OF NEBRASKA
NE
Enumeration date
04/03/2012
Last updated
04/03/2012
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