| Premier Dental | |
|
17110 Lakeside Hills Plaza Omaha NE 68130 | |
| (402) 330-6757 | |
| (402) 330-6713 |
| Full Name | Premier Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17110 Lakeside Hills Plaza, Omaha, Nebraska |
| Authorized Official Name and Position | Daniel J Beninato (OWNER) |
| Authorized Official Contact | 4023306757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental 17110 Lakeside Hills Plaza Omaha NE 68130 Ph: (402) 330-6757 | Premier Dental 17110 Lakeside Hills Plaza Omaha NE 68130 Ph: (402) 330-6757 |
| NPI Number | 1104162601 |
|---|---|
| Provider Enumeration Date | 01/02/2013 |
| Last Update Date | 03/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104162601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6254 (Nebraska) | Primary |
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