| MC Sheets DDS, PC | |
|
11919 Grant St Ste 140 Omaha NE 68164-3475 | |
| (402) 493-4175 | |
| Not Available |
| Full Name | MC Sheets DDS, PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 11919 Grant St Ste 140, Omaha, Nebraska |
| Authorized Official Name and Position | Melissa Christine Sheets (DENTIST/OWNER) |
| Authorized Official Contact | 4022023123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MC Sheets DDS, PC 11919 Grant St Ste 140 Omaha NE 68164-3475 Ph: (402) 493-4175 | MC Sheets DDS, PC 11919 Grant St Ste 140 Omaha NE 68164-3475 Ph: (402) 493-4175 |
| NPI Number | 1427627843 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Medicare PECOS PAC ID | 5193120376 |
|---|---|
| Medicare Enrollment ID | O20210826000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427627843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
| Provider Name | Phillip Tracy Brigden |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013297332 PECOS PAC ID: 8426308545 Enrollment ID: I20181009000960 |
| Provider Name | Melissa Christine Sheets |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508007089 PECOS PAC ID: 6002211281 Enrollment ID: I20210826000883 |
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