| Alexander Dmitry Banketov, DDS | |
|
4920 S 30th St Ste 103, Omaha, NE 68107-1656 | |
| (402) 734-4110 | |
| (402) 734-3990 |
| Full Name | Alexander Dmitry Banketov |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 4920 S 30th St Ste 103, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124857164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13921 (North Carolina) | Secondary |
| 122300000X | Dentist | 8056 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Dmitry Banketov, DDS 4920 S 30th St Ste 103, Omaha, NE 68107-1656 Ph: (402) 734-4110 | Alexander Dmitry Banketov, DDS 4920 S 30th St Ste 103, Omaha, NE 68107-1656 Ph: (402) 734-4110 |
Dr. Mark Thomas Chase, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8424 W Center Rd, Suite 100, Omaha, NE 68124 Phone: 402-397-1300 Fax: 402-397-6449 | |
Kajal Desai, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5321 Center St, Omaha, NE 68106 Phone: 402-551-2238 | |
Dr. Peter Roy Straub, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15909 W Maple Rd, Suite 102, Omaha, NE 68116 Phone: 402-991-6965 | |
Dr. Joseph Anthony Ramirez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12100 W Center Rd, Suite 521, Omaha, NE 68144 Phone: 402-333-3343 Fax: 402-333-3344 | |
James M Heit, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13215 Birch Dr, Suite 100, Omaha, NE 68164 Phone: 402-390-0770 | |
Dr. Gregory L Garro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3525 N 147th St, Suite 213, Omaha, NE 68116 Phone: 402-493-8900 Fax: 402-933-2957 | |
Phillip Tracy Brigden, D.D.S. Dentist Medicare: May Accept Medicare Assignments Practice Location: 11919 Grant St Ste 140, Omaha, NE 68164 Phone: 402-493-4175 Fax: 877-811-8129 |