| Nbd Northwest LLC | |
|
5200 N 91st Ave Ste B Omaha NE 68134-2749 | |
| (402) 493-8320 | |
| Not Available |
| Full Name | Nbd Northwest LLC |
|---|---|
| Speciality | Dentist |
| Location | 5200 N 91st Ave Ste B, Omaha, Nebraska |
| Authorized Official Name and Position | Missy Ryan (HUMAN RESOURCES) |
| Authorized Official Contact | 6052130071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nbd Northwest LLC 5200 N 91st Ave Ste B Omaha NE 68134-2749 | Nbd Northwest LLC 5200 N 91st Ave Ste B Omaha NE 68134-2749 Ph: (402) 493-8320 |
| NPI Number | 1609553692 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609553692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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