| Aet Nicholas, Llc | |
|
10020 Nicholas St Ste 201 Omaha NE 68114-2188 | |
| (402) 614-2024 | |
| Not Available |
| Full Name | Aet Nicholas, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 10020 Nicholas St Ste 201, Omaha, Nebraska |
| Authorized Official Name and Position | Brent J Rising (MANAGER) |
| Authorized Official Contact | 7017996453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aet Nicholas, Llc 27330 W Center Rd Waterloo NE 68069-6814 Ph: (701) 361-4560 | Aet Nicholas, Llc 10020 Nicholas St Ste 201 Omaha NE 68114-2188 Ph: (402) 614-2024 |
| NPI Number | 1790464477 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790464477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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