Individual
KATHERINE M DIPRIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8901 INDIAN HILLS DR STE 300B, OMAHA, NE 68114-4032
(402) 715-5858
(402) 715-5838
Mailing address
8901 INDIAN HILLS DR STE 300B, OMAHA, NE 68114-4032
(402) 715-5858
(402) 715-5838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6325
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366902
UNITED CONCORDIA ID
NE
01
—
5814
BCBS PROVIDER ID
NE
Enumeration date
12/01/2005
Last updated
09/08/2023
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