Individual
DR. GREGORY A. HAVELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2410 S 73RD ST, OMAHA, NE 68124-2395
(402) 393-8439
(402) 393-8593
Mailing address
2410 S 73RD ST, OMAHA, NE 68124-2395
(402) 393-8439
(402) 393-8593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5491
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4684
BLUE CROSS BLUE SHIELD ID
NE
01
—
596782
UNITED CONCORDIA ID
NE
Enumeration date
02/28/2007
Last updated
07/08/2007
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