| Tyler L Smith Family Dentistry | |
|
17940 Welch Plz Suite 106 Omaha NE 68135-3594 | |
| (402) 932-9349 | |
| (402) 505-8503 |
| Full Name | Tyler L Smith Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 17940 Welch Plz, Omaha, Nebraska |
| Authorized Official Name and Position | Tyler L Smith (PRESIDENT) |
| Authorized Official Contact | 4029329349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler L Smith Family Dentistry 17940 Welch Plz Suite 106 Omaha NE 68135-3594 Ph: (402) 932-9349 | Tyler L Smith Family Dentistry 17940 Welch Plz Suite 106 Omaha NE 68135-3594 Ph: (402) 932-9349 |
| NPI Number | 1336376409 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336376409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6822 (Nebraska) | Primary |
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