Individual
SCOTT BERNARD BICKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13790 MILLARD AVE, OMAHA, NE 68137-2700
(402) 896-1999
Mailing address
13790 MILLARD AVE, OMAHA, NE 68137-2700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6001070-15
WI
122300000X
Dentist
Primary
8081
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2022
Last updated
06/15/2025
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