Individual
DR. DENNIS HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0133
(402) 280-5054
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0133
(402) 280-5054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5555
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013349087
CREIGHTON DENTAL CLINIC
—
Enumeration date
12/05/2017
Last updated
12/05/2017
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