Organization
OMNI DENTAL CENTRES, LLP
Active
Parent organization
OMNI DENTAL CENTRES, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI DENTAL CENTRES, LLP
Authorized official
DR. DAVID L JONES DDS (PARTNER/DENTIST)
(712) 328-8573
Entity
Organization
Contact information
Practice address
1026 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 328-8573
(712) 328-0233
Mailing address
1026 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 328-8573
(712) 328-0233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08132
IA
1223G0001X
General Practice Dentistry
6029
IA
1223G0001X
General Practice Dentistry
6614
IA
1223G0001X
General Practice Dentistry
6855
IA
1223G0001X
General Practice Dentistry
8132
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058560
—
IA
05
—
0241794
—
IA
Enumeration date
12/20/2006
Last updated
12/06/2011
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