Individual
DR. RICHARD DOWNEY FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5709 NW RADIAL HWY, OMAHA, NE 68104-4141
(402) 551-1757
(402) 551-1517
Mailing address
5709 NW RADIAL HWY, P.O. BOX 4100, OMAHA, NE 68104-4141
(402) 551-1757
(402) 551-1517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4008
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005998396
AETNA
NE
05
—
47056342201
—
NE
01
—
4902
BLUE CROSS BLUE SHIELD
NE
01
—
872534
UNITED CONCORDIA
NE
01
—
DN710
FEDS HEAL
NE
Enumeration date
09/16/2006
Last updated
07/08/2007
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