Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF NEBRASKA, P.C.
Other names
370 Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, P.C.
Authorized official
CEMYIRA MCDOUGAL (CRED COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
19013 OAKMONT DR, OMAHA, NE 68136-4345
(804) 575-3320
(804) 575-3324
Mailing address
15884 HULL STREET RD, CHESTERFIELD, VA 23832-2178
(804) 575-3320
(804) 575-3324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/21/2024
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