Individual
DR. THOMAS JOHN BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2953 S 168TH ST, OMAHA, NE 68130-2000
(402) 572-8000
(402) 573-1571
Mailing address
2953 S 168TH ST, OMAHA, NE 68130-2000
(402) 572-8000
(402) 573-1571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5275
NE
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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