Individual
DR. BRETT HUNTER TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17455 MANDERSON ST, OMAHA, NE 68116-1159
(402) 333-0274
(402) 498-2997
Mailing address
17455 MANDERSON STREET, OMAHA, NE 68116-1159
(402) 333-0274
(402) 498-2997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6640
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025448800
—
NE
01
—
5834
BLUE CROSS & BLUE SHIELD
NE
Enumeration date
03/07/2007
Last updated
01/26/2023
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