| Chidren's Dentistry Of South Omaha, Llc | |
|
2424 Oak St Omaha NE 68105-3727 | |
| (402) 932-5553 | |
| (402) 932-5557 |
| Full Name | Chidren's Dentistry Of South Omaha, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2424 Oak St, Omaha, Nebraska |
| Authorized Official Name and Position | Magdalena Evans (SR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7206034800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chidren's Dentistry Of South Omaha, Llc 2424 Oak St Omaha NE 68105-3727 Ph: (402) 932-5553 | Chidren's Dentistry Of South Omaha, Llc 2424 Oak St Omaha NE 68105-3727 Ph: (402) 932-5553 |
| NPI Number | 1134493083 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134493083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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