Organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF NEBRASKA, PC
Other names
Spring Ridge Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF NEBRASKA, PC
Authorized official
KENDRA WALKER (CREDENTIALING SUPERVISOR)
(217) 821-7249
Entity
Organization
Contact information
Practice address
17810 PIERCE PLAZA, SUITE 100, OMAHA, NE 68130
(402) 608-2702
Mailing address
17810 PIERCE PLAZA, SUITE 100, OMAHA, NE 68130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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