| Rc & Sa Wilson Dds Pc | |
|
13215 Birch Dr Suite 101 Omaha NE 68164-5431 | |
| (402) 498-8804 | |
| (402) 498-8838 |
| Full Name | Rc & Sa Wilson Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13215 Birch Dr, Omaha, Nebraska |
| Authorized Official Name and Position | Heidi Hackel (OFFICE MANAGER) |
| Authorized Official Contact | 4024988804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rc & Sa Wilson Dds Pc 13215 Birch Dr Suite 101 Omaha NE 68164-5431 Ph: (402) 498-8804 | Rc & Sa Wilson Dds Pc 13215 Birch Dr Suite 101 Omaha NE 68164-5431 Ph: (402) 498-8804 |
| NPI Number | 1114063443 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114063443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5060 (Nebraska) | Primary |
| 1223G0001X | Dentist - General Practice | 5248 (Nebraska) | Secondary |
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