Organization
LEGACY DENTAL CARE, LLC
Active
Parent organization
BRENT J. RISING, DDS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENT J. RISING, DDS PC
Authorized official
DR. BRENT JAMISON RISING DDS (OWNER)
(701) 799-6453
Entity
Organization
Contact information
Practice address
17602 WRIGHT ST, SUITE 105, OMAHA, NE 68130-2097
(402) 393-1108
Mailing address
14406 HARRISON ST, OMAHA, NE 68138-6521
(402) 333-1120
(402) 697-8713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6812
NE
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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