| Align Care | |
|
4102 Woolworth Ave Suite 100 Omaha NE 68105-1851 | |
| (402) 594-5550 | |
| (888) 491-9836 |
| Full Name | Align Care |
|---|---|
| Speciality | Dentist |
| Location | 4102 Woolworth Ave, Omaha, Nebraska |
| Authorized Official Name and Position | Shandra Lynn Wilkins (OPERATIONS MANAGER) |
| Authorized Official Contact | 4028810081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Care 7914 W Dodge Rd #404 Omaha NE 68114-3417 Ph: (402) 881-0081 | Align Care 4102 Woolworth Ave Suite 100 Omaha NE 68105-1851 Ph: (402) 594-5550 |
| NPI Number | 1730466228 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 10/06/2014 |
| Medicare PECOS PAC ID | 7315104916 |
|---|---|
| Medicare Enrollment ID | O20120209000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730466228 | NPI | - | NPPES |
| 100262296-00 | Medicaid | NE | |
| 1730466228 | Medicaid | IA |
| Provider Name | Dean A List |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568409001 PECOS PAC ID: 8527240076 Enrollment ID: I20110304000758 |
| Provider Name | Petrisor Tudor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194447367 PECOS PAC ID: 3779950159 Enrollment ID: I20221028000848 |
| Provider Name | Joseph D Patach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750861621 PECOS PAC ID: 3274940606 Enrollment ID: I20241009000319 |
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