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Organization

SMALL SMILES OF OMAHA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENELL STRINGER (SPECIALIST)
(615) 750-0343
Entity
Organization

Contact information

Practice address
311 N 76TH ST, OMAHA, NE 68114-3627
(402) 393-0594
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0723387
IA
05
10025408800
NE
01
1883523
UNITED CONCORDIA
NE
Enumeration date
10/06/2006
Last updated
11/17/2011
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