Brian S Pendley in Omaha - General Practice

Brian S Pendley - NPI 1972627685

Brian S Pendley is a General Practice in Omaha, Nebraska. Brian S Pendley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian S Pendley is 1972627685. The last update date is 2007-07-08.

Brian S Pendley's current location address is 13808 W Maple Rd, Omaha, Nebraska. You can contact this provider via phone number 4024454647 and fax number 4024458370. The mailing address for Brian S Pendley is 13808 W Maple Rd, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian S Pendley
Address 13808 W Maple Rd, Omaha, Nebraska
Phone Number 4024454647
Fax Number 4024458370
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1972627685
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13808 W Maple Rd
City Omaha
State Nebraska (NE)
Post Code 681646231
Phone Number 4024454647
Fax Number 4024458370

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6214
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Brian S Pendley

What is the unique identifier code issued to Brian S Pendley by the Centers for Medicare & Medicaid Services?

The Brian S Pendley has been assigned the NPI (National Provider Identifier) 1972627685. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Brian S Pendley's facilities are situated?

The facilities of Brian S Pendley are physically located at the following address: 13808 W Maple Rd, Omaha, NE, 681646231.

What is the area of specialization for Brian S Pendley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brian S Pendley is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Brian S Pendley receive the assignment of its 1972627685 from the Centers for Medicare & Medicaid Services?

The Brian S Pendley was issued its 1972627685 by the Centers for Medicare & Medicaid Services on 2007-03-19.

As of what date were the details pertaining to Brian S Pendley last refreshed?

The information related to the Brian S Pendley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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