Organization
BURCHFIEL DENTAL AESTHETIC & COMPREHENSIVE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PATRICK BURCHFIEL D.D.S. (OWNER)
(402) 492-9398
Entity
Organization
Contact information
Practice address
628 N 129TH ST, OMAHA, NE 68154-6107
(402) 492-9398
(402) 431-0226
Mailing address
628 N 129TH ST, OMAHA, NE 68154-6107
(402) 492-9398
(402) 431-0226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6494
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025757900
—
NE
Enumeration date
02/14/2012
Last updated
02/14/2012
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