Individual
KIMBERLY POLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3811 N 167TH CT, OMAHA, NE 68116-8067
(402) 991-6965
Mailing address
3811 N 167TH CT, OMAHA, NE 68116-8067
(402) 991-6965
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7362
NE
1223G0001X
General Practice Dentistry
7362
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7362
DENTAL LICENSE
NE
Enumeration date
06/15/2017
Last updated
04/30/2024
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