Organization
RICHARD D. FITZGERALD, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D FITZGERALD DDS (PRESIDENT)
(402) 551-1757
Entity
Organization
Contact information
Practice address
5709 NW RADIAL HWY, OMAHA, NE 68104-4141
(402) 551-1757
(402) 551-1517
Mailing address
5709 NW RADIAL HWY, OMAHA, NE 68104-4141
(402) 551-1757
(402) 551-1517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4008
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005998396
AETNA
—
01
—
4902
BLUE CROSS BLUE SHIELD
NE
01
—
872534
UNITED CONCORDIA INSURANC
—
01
—
DN710
FEDS HEAL
—
Enumeration date
02/26/2007
Last updated
08/22/2020
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