| Wilson Dental | |
|
11717 Burt St Ste 100 Omaha NE 68154-1500 | |
| (402) 492-9476 | |
| Not Available |
| Full Name | Wilson Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11717 Burt St Ste 100, Omaha, Nebraska |
| Authorized Official Name and Position | Ashley Rainbolt (DENTIST/OWNER) |
| Authorized Official Contact | 4024929476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Dental 11717 Burt St Ste 100 Omaha NE 68154-1500 Ph: (402) 492-9476 | Wilson Dental 11717 Burt St Ste 100 Omaha NE 68154-1500 Ph: (402) 492-9476 |
| NPI Number | 1497478044 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497478044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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