Organization
DR GREGORY K OLIVER PC
Active
Other names
Alpha Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE R OLIVER (FRONT OFFICE ASSISTANT)
(402) 827-3434
Entity
Organization
Contact information
Practice address
2945 N 108TH ST, OMAHA, NE 68164
(402) 827-3434
(402) 827-3436
Mailing address
2945 N 108TH ST, OMAHA, NE 68164
(402) 827-3434
(402) 827-3436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6186
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05738
BLUE CROSS BLUE SHIELD
—
05
—
1619047784
—
NE
Enumeration date
11/08/2006
Last updated
10/09/2014
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