| Georgetowne Family Dentistry | |
|
2526 S 140th St Omaha NE 68144-2339 | |
| (402) 333-6080 | |
| (402) 333-6024 |
| Full Name | Georgetowne Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2526 S 140th St, Omaha, Nebraska |
| Authorized Official Name and Position | Dylan C Gaillard (DENTIST/OWNER) |
| Authorized Official Contact | 4023306080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetowne Family Dentistry 2526 S 140th St Omaha NE 68144-2339 Ph: (402) 333-6080 | Georgetowne Family Dentistry 2526 S 140th St Omaha NE 68144-2339 Ph: (402) 333-6080 |
| NPI Number | 1700373602 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 04/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700373602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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