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Organization

UNMC COLLEGE OF DENTISTRY

Active
Other names
Adult General Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDAL L HAACK PH.D. (ASSISTANT DEAN OF OPERATIONS)
(402) 472-3492
Entity
Organization

Contact information

Practice address
989375 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-9375
(402) 559-6000
(402) 559-9607
Mailing address
40TH AND HOLDREGE, ROOM 2106B, LINCOLN, NE 68583-0740
(402) 472-3492
(402) 472-5290

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025144400
NE
05
1956599
IA
Enumeration date
10/18/2006
Last updated
12/18/2013
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