|
| |
|
12828 Augusta Ave Omaha NE 68144-3733 | |
| (402) 334-5052 | |
| (402) 334-0215 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12828 Augusta Ave, Omaha, Nebraska |
| Authorized Official Name and Position | Dylan C Gaillard (DENTIST/OWNER) |
| Authorized Official Contact | 4023345052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12828 Augusta Ave Omaha NE 68144-3733 Ph: (402) 334-5052 | 12828 Augusta Ave Omaha NE 68144-3733 Ph: (402) 334-5052 |
| NPI Number | 1326535261 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326535261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Anding Family Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 S 73rd St Ste 202, Omaha, NE 68124 Phone: 402-933-4632 | |
Eric D Hodges Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 So. 73rd St., Omaha, NE 68124 Phone: 402-397-3377 Fax: 402-343-1039 | |
My Pediatric Dentist West Maple Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14270 W Maple Rd, Omaha, NE 68164 Phone: 402-491-3100 | |
Dundee Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5006 Dodge St, Omaha, NE 68132 Phone: 402-554-1333 Fax: 402-554-1336 |