Organization
PROFILE ORTHODONTICS OMAHA LLC
Active
Organization
PROFILE ORTHODONTICS OMAHA LLC
Active
Other names
Profile Orthodontics & Facial Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT ESSINK DDS, MS (OWNER)
(531) 893-2928
Entity
Organization
Contact information
Practice address
6909 S 157TH ST STE C, OMAHA, NE 68136-3052
(531) 893-2928
Mailing address
PO BOX 6531, LINCOLN, NE 68506-0531
(531) 893-2928
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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