Irish Taylor Dental Llc | |
4843 S 24th St Omaha NE 68107-2704 | |
(402) 731-0388 | |
(402) 884-0921 |
Full Name | Irish Taylor Dental Llc |
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Speciality | Dentist |
Location | 4843 S 24th St, Omaha, Nebraska |
Authorized Official Name and Position | Paul Kingsley Taylor (CO-OWNER) |
Authorized Official Contact | 4027310388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Irish Taylor Dental Llc 4843 S 24th St Omaha NE 68107-2704 Ph: (402) 731-0388 | Irish Taylor Dental Llc 4843 S 24th St Omaha NE 68107-2704 Ph: (402) 731-0388 |
NPI Number | 1386876076 |
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Provider Enumeration Date | 08/14/2009 |
Last Update Date | 08/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386876076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6678 (Nebraska) | Primary |
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