Unknown Individual – General Practice Dentistry, NPI 1215014998
General Practice Dentistry
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11919, Grant Street, Omaha, Douglas County, Nebraska, 68164, United States
SUITE 140
OMAHA, NE 681643475
Phone: (402) 493-4175
Fax: (402) 493-9273
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL |
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