| Montclair Dental, Pc | |
|
13057 W Center Road Suite 15 Omaha NE 68144-3723 | |
| (402) 333-5337 | |
| (402) 333-5346 |
| Full Name | Montclair Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13057 W Center Road, Omaha, Nebraska |
| Authorized Official Name and Position | David Scott Olson (OWNER) |
| Authorized Official Contact | 4023335337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Dental, Pc 13057 W Center Road Suite 15 Omaha NE 68144-3723 Ph: (402) 333-5337 | Montclair Dental, Pc 13057 W Center Road Suite 15 Omaha NE 68144-3723 Ph: (402) 333-5337 |
| NPI Number | 1912212804 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912212804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6849 (Nebraska) | Primary |
| 1223G0001X | Dentist - General Practice | 4081 (Nebraska) | Secondary |
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