Organization
GREAT PLAINS DENTAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CLINE JR. DDS (PRESIDENT/OWNER)
(402) 330-4100
Entity
Organization
Contact information
Practice address
615 N 90TH ST, OMAHA, NE 68114-2821
(402) 330-4100
(402) 330-4103
Mailing address
615 N 90TH ST, OMAHA, NE 68114-2821
(402) 330-4100
(402) 330-4103
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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