Burchfiel Dental Aesthetic & Comprehensive P.c. | |
628 N 129th St Omaha NE 68154-6107 | |
(402) 492-9398 | |
(402) 431-0226 |
Full Name | Burchfiel Dental Aesthetic & Comprehensive P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 628 N 129th St, Omaha, Nebraska |
Authorized Official Name and Position | Timothy Patrick Burchfiel (OWNER) |
Authorized Official Contact | 4024929398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Burchfiel Dental Aesthetic & Comprehensive P.c. 628 N 129th St Omaha NE 68154-6107 Ph: (402) 492-9398 | Burchfiel Dental Aesthetic & Comprehensive P.c. 628 N 129th St Omaha NE 68154-6107 Ph: (402) 492-9398 |
NPI Number | 1437422938 |
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Provider Enumeration Date | 02/14/2012 |
Last Update Date | 02/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437422938 | NPI | - | NPPES |
10025757900 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6494 (Nebraska) | Primary |
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