| Omni Dental Centres, Llp | |
|
1026 Woodbury Ave Council Bluffs IA 51503-7915 | |
| (712) 328-8573 | |
| (712) 328-0233 |
| Full Name | Omni Dental Centres, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1026 Woodbury Ave, Council Bluffs, Iowa |
| Authorized Official Name and Position | Robert Wallace Hurley (DENTIST/OWNER) |
| Authorized Official Contact | 7123476151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Dental Centres, Llp 3004 N 13th St Carter Lake IA 51510-1438 Ph: (712) 347-6151 | Omni Dental Centres, Llp 1026 Woodbury Ave Council Bluffs IA 51503-7915 Ph: (712) 328-8573 |
| NPI Number | 1174544357 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 06/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174544357 | NPI | - | NPPES |
| 628884 | Other | UNITED CONCORDIA | |
| 20363 | Other | IA | BLUE CROSS BLUE SHIELD |
| 07881 | Other | NE | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6855 (Iowa) | Primary |
| 1223G0001X | Dentist - General Practice | 8132 (Iowa) | Secondary |
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