Organization
3D DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN D DEWISPELARE DDS (OWNER PRESIDENT)
(402) 614-0322
Entity
Organization
Contact information
Practice address
17853 PIERCE PLAZA, OMAHA, NE 68130
(402) 614-0322
(402) 991-4608
Mailing address
17853 PIERCE PLAZA, OMAHA, NE 68130
(402) 614-0322
(402) 991-4608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6173
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025228900
—
NE
Enumeration date
08/14/2006
Last updated
08/22/2020
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