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Contact Information

ADVANCED ENDODONTIC THERAPY, PC
18015 OAK ST
SUITE A
OMAHA, NE68130-6093
 Phone: 402-763-4929
 Fax: 402-502-5990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTIC THERAPY PC · (Female)

NPI Number 1154570745
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2008
Last updated 09/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NE License # 6675
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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