Organization
NE SPECIALTY DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE DASCH (DIRECTOR OF PROVIDER RELATIOND)
(504) 638-0303
Entity
Organization
Contact information
Practice address
13215 BIRCH DR STE 100, OMAHA, NE 68164-5431
(402) 390-0770
Mailing address
401 CHURCH ST STE 1400, NASHVILLE, TN 37219-2214
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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