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Contact Information

AESTHETIC & FAMILY DENTISTRY LLC
505 CORNHUSKER RD STE 102
BELLEVUE, NE68005-7911
 Phone: 402-293-1234
 Fax: 402-293-9364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AESTHETIC & FAMILY DENTISTRY LLC

NPI # 1033515903
LBN Legal business name AESTHETIC & FAMILY DENTISTRY LLC
Authorized official LARRY CAMERON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2014
Last updated 11/05/2014 - About 12 years ago
Identifiers
NE License # 4837
NE Medicaid 1223G0001X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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