Organization
NE SPECIALTY DENTAL SERVICES LLC
Active
Organization
NE SPECIALTY DENTAL SERVICES LLC
Active
Parent organization
NE SPECIALTY DENTAL SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NE SPECIALTY DENTAL SERVICES LLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
8901 INDIAN HILLS DR STE 250, OMAHA, NE 68114-4033
(402) 558-0035
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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