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260 Regency Parkway Dr Suite 104 Omaha NE 68114-3787 | |
| (402) 399-0900 | |
| (402) 399-1629 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 260 Regency Parkway Dr, Omaha, Nebraska |
| Authorized Official Name and Position | Kenneth Allen Spanel (OWNER/DENTIST) |
| Authorized Official Contact | 4023990900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
260 Regency Parkway Dr Suite 104 Omaha NE 68114-3787 Ph: (402) 399-0900 | 260 Regency Parkway Dr Suite 104 Omaha NE 68114-3787 Ph: (402) 399-0900 |
| NPI Number | 1821361098 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 02/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821361098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4969 (Nebraska) | Primary |
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