| Profile Orthodontics Omaha Llc | |
|
6909 S 157th St Ste C Omaha NE 68136-3052 | |
| (531) 893-2928 | |
| Not Available |
| Full Name | Profile Orthodontics Omaha Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6909 S 157th St Ste C, Omaha, Nebraska |
| Authorized Official Name and Position | Grant Essink (OWNER) |
| Authorized Official Contact | 5318932928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Profile Orthodontics Omaha Llc Po Box 6531 Lincoln NE 68506-0531 Ph: (531) 893-2928 | Profile Orthodontics Omaha Llc 6909 S 157th St Ste C Omaha NE 68136-3052 Ph: (531) 893-2928 |
| NPI Number | 1497444657 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497444657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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