Individual
ANGELI JAYESH THAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11511 S 42ND ST, BELLEVUE, NE 68123-1026
(402) 291-5400
(402) 291-5401
Mailing address
11511 S 42ND ST, BELLEVUE, NE 68123-1026
(402) 291-5400
(402) 291-5401
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6301
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-002-526-5400
—
NE
Enumeration date
09/01/2005
Last updated
07/28/2023
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