| Sudman Dental | |
|
220 N 89th St Ste 203 Omaha NE 68114-4072 | |
| (773) 597-8863 | |
| Not Available |
| Full Name | Sudman Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 220 N 89th St Ste 203, Omaha, Nebraska |
| Authorized Official Name and Position | Shane Galen Sudman (OWNER, PRESIDENT) |
| Authorized Official Contact | 7735978863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudman Dental 220 N 89th St Ste 203 Omaha NE 68114-4072 Ph: (773) 597-8863 | Sudman Dental 220 N 89th St Ste 203 Omaha NE 68114-4072 Ph: (773) 597-8863 |
| NPI Number | 1467969378 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 01/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467969378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7064 (Nebraska) | Primary |
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