Tiburon Family Dental Pc in Omaha - Dentist
Tiburon Family Dental Pc - NPI 1932214475
Tiburon Family Dental Pc is a Dentist in Omaha, Nebraska. Tiburon Family Dental Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tiburon Family Dental Pc is 1932214475. The last update date is 2020-08-22.
Tiburon Family Dental Pc's current location address is 16919 Audrey St, Omaha, Nebraska. You can contact this provider via phone number 4029329413 and fax number 4025059704. The mailing address for Tiburon Family Dental Pc is 16919 Audrey St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tiburon Family Dental Pc |
|---|---|
| Address | 16919 Audrey St, Omaha, Nebraska |
| Phone Number | 4029329413 |
| Fax Number | 4025059704 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson H Robert |
| Credentials | DDS |
| Telephone Number | 4029329413 |
NPI Number Detail
| NPI Number | 1932214475 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 16919 Audrey St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 68136 |
| Phone Number | 4029329413 |
| Fax Number | 4025059704 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3417859922 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Tiburon Family Dental Pc by the Centers for Medicare & Medicaid Services?
The Tiburon Family Dental Pc has been issued the NPI (National Provider Identifier) 1932214475. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tiburon Family Dental Pc is physically located?
The Tiburon Family Dental Pc is physically situated at the following address: 16919 Audrey St, Omaha, NE, 68136.
What is Tiburon Family Dental Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tiburon Family Dental Pc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Tiburon Family Dental Pc receive its 1932214475 assignment from the Centers for Medicare & Medicaid Services?
The Tiburon Family Dental Pc was assigned its 1932214475 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details related to Tiburon Family Dental Pc most recently updated or revised?
The information pertaining to Tiburon Family Dental Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.