| Dental Professionals Of Nebraska, Pc | |
|
5619 S 204th Ave Elkhorn NE 68022-4285 | |
| (531) 484-3050 | |
| (531) 484-4140 |
| Full Name | Dental Professionals Of Nebraska, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5619 S 204th Ave, Elkhorn, Nebraska |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Nebraska, Pc 5619 S 204th Ave Elkhorn NE 68022-4285 Ph: (531) 484-3050 | Dental Professionals Of Nebraska, Pc 5619 S 204th Ave Elkhorn NE 68022-4285 Ph: (531) 484-3050 |
| NPI Number | 1346923042 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346923042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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