Organization
SUMMIT DENTAL HEALTH - TOWNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JAMES (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
702 W MISSION AVE, BELLEVUE, NE 68005-5124
(402) 291-5842
Mailing address
134 EVERGREEN RD STE 200, LOUISVILLE, KY 40243-1486
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5290
NE
Other
Enumeration date
07/25/2014
Last updated
02/09/2015
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