| Candid Nebraska, Llc | |
|
706 N 129th St Ste 100 Omaha NE 68154-6116 | |
| (860) 481-7631 | |
| Not Available |
| Full Name | Candid Nebraska, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 706 N 129th St Ste 100, Omaha, Nebraska |
| Authorized Official Name and Position | Thomas Shannon (DDS) |
| Authorized Official Contact | 8604817631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candid Nebraska, Llc 706 N 129th St Ste 100 Omaha NE 68154-6116 Ph: (860) 481-7631 | Candid Nebraska, Llc 706 N 129th St Ste 100 Omaha NE 68154-6116 Ph: (860) 481-7631 |
| NPI Number | 1942817044 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942817044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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