| Richard D. Fitzgerald, DDS, PC | |
|
5709 Nw Radial Hwy Omaha NE 68104-4141 | |
| (402) 551-1757 | |
| (402) 551-1517 |
| Full Name | Richard D. Fitzgerald, DDS, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5709 Nw Radial Hwy, Omaha, Nebraska |
| Authorized Official Name and Position | Richard D Fitzgerald (PRESIDENT) |
| Authorized Official Contact | 4025511757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Fitzgerald, DDS, PC 5709 Nw Radial Hwy Omaha NE 68104-4141 Ph: (402) 551-1757 | Richard D. Fitzgerald, DDS, PC 5709 Nw Radial Hwy Omaha NE 68104-4141 Ph: (402) 551-1757 |
| NPI Number | 1932235645 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932235645 | NPI | - | NPPES |
| 4902 | Other | NE | BLUE CROSS BLUE SHIELD |
| DN710 | Other | FEDS HEAL | |
| 872534 | Other | UNITED CONCORDIA INSURANC | |
| 0005998396 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4008 (Nebraska) | Primary |
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