Organization
OMNI COUNCIL BLUFFS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED OFFICIAL)
(214) 702-0708
Entity
Organization
Contact information
Practice address
1026 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 201-8891
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
01/28/2026
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