Organization
CREIGHTON UNIVERSITY
Active
Other names
Creighton Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN L. SIMMERS M.B.A. (FINANCIAL OFFICER)
(402) 280-5065
Entity
Organization
Contact information
Practice address
2802 WEBSTER ST, OMAHA, NE 68178-0003
(402) 280-5065
(402) 280-5013
Mailing address
2802 WEBSTER ST, OMAHA, NE 68178-0003
(402) 280-5065
(402) 280-5013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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