Individual
DR. JAMES P POLERECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
206 S 19TH ST, #1100, OMAHA, NE 68102-1704
(402) 341-7576
(402) 341-8975
Mailing address
514 S 52ND ST, OMAHA, NE 68106-1307
(402) 558-6910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5953
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91186087400
—
NE
Enumeration date
08/31/2006
Last updated
07/08/2007
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