| Thomas J Formanack, DDS | |
|
17775 Mason St, Suite 1, Omaha, NE 68118-3559 | |
| (402) 758-9399 | |
| (402) 758-0030 |
| Full Name | Thomas J Formanack |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 17775 Mason St, Omaha, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023193182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4024 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Formanack, DDS 16597 Hascall St, Omaha, NE 68130-2060 Ph: (402) 697-9401 | Thomas J Formanack, DDS 17775 Mason St, Suite 1, Omaha, NE 68118-3559 Ph: (402) 758-9399 |
Dr. Mark Thomas Chase, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8424 W Center Rd, Suite 100, Omaha, NE 68124 Phone: 402-397-1300 Fax: 402-397-6449 | |
Dr. Peter Roy Straub, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15909 W Maple Rd, Suite 102, Omaha, NE 68116 Phone: 402-991-6965 | |
Dr. Joseph Anthony Ramirez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12100 W Center Rd, Suite 521, Omaha, NE 68144 Phone: 402-333-3343 Fax: 402-333-3344 | |
James M Heit, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13215 Birch Dr, Suite 100, Omaha, NE 68164 Phone: 402-390-0770 | |
Dr. Gregory L Garro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3525 N 147th St, Suite 213, Omaha, NE 68116 Phone: 402-493-8900 Fax: 402-933-2957 | |
Phillip Tracy Brigden, D.D.S. Dentist Medicare: May Accept Medicare Assignments Practice Location: 11919 Grant St Ste 140, Omaha, NE 68164 Phone: 402-493-4175 Fax: 877-811-8129 | |
Chelsea E Wiggins, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5321 Center St, Omaha, NE 68106 Phone: 402-551-2238 |