Organization
PREMIER SMILE DENTAL ASSOCIATES, PC
Active
Other names
Premier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J BENINATO D.D.S. (OWNER)
(402) 330-6757
Entity
Organization
Contact information
Practice address
17110 LAKESIDE HILLS PLAZA, OMAHA, NE 68130
(402) 330-6757
(402) 330-6713
Mailing address
17110 LAKESIDE HILLS PLAZA, OMAHA, NE 68130
(402) 330-6757
(402) 330-6713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6254
NE
Other
Enumeration date
01/02/2013
Last updated
03/06/2022
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