| Omaha Periodontics And Implant Dentistry Llc | |
|
624 N 129th St Ste 200 Omaha NE 68154-6110 | |
| (402) 431-8688 | |
| Not Available |
| Full Name | Omaha Periodontics And Implant Dentistry Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 624 N 129th St Ste 200, Omaha, Nebraska |
| Authorized Official Name and Position | Erica E Jasa (PERIODONTIST) |
| Authorized Official Contact | 4024318688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omaha Periodontics And Implant Dentistry Llc 624 N 129th St Ste 200 Omaha NE 68154-6110 Ph: (402) 431-8688 | Omaha Periodontics And Implant Dentistry Llc 624 N 129th St Ste 200 Omaha NE 68154-6110 Ph: (402) 431-8688 |
| NPI Number | 1285278028 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285278028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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