| Specialty Dental Care Pc | |
|
12165 W Center Rd Suite 76 Omaha NE 68144-3962 | |
| (402) 334-8083 | |
| (402) 334-0834 |
| Full Name | Specialty Dental Care Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 12165 W Center Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Marsha K. Mcbratney (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4023348083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Dental Care Pc 12242 K Plz Suite 113 Omaha NE 68137-2260 Ph: (402) 334-8083 | Specialty Dental Care Pc 12165 W Center Rd Suite 76 Omaha NE 68144-3962 Ph: (402) 334-8083 |
| NPI Number | 1588781306 |
|---|---|
| Provider Enumeration Date | 03/25/2007 |
| Last Update Date | 05/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588781306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | NE4332 (Nebraska) | Primary |
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