Mg Dds Pc is a General Practice in Omaha, Nebraska. Mg Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mg Dds Pc is 1457472342. The last update date is 2020-08-22.
Mg Dds Pc's current location address is 1113 N 72nd St, Omaha, Nebraska. You can contact this provider via phone number 4025586220 and fax number 4025583849. The mailing address for Mg Dds Pc is 1113 N 72nd St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mg Dds Pc |
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Address | 1113 N 72nd St, Omaha, Nebraska |
Phone Number | 4025586220 |
Fax Number | 4025583849 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Greder Edward Mack |
Credentials | DDS |
Telephone Number | 4025586220 |
NPI Number Detail
NPI Number | 1457472342 |
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Provider Enumeration Date | 2007-04-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1113 N 72nd St |
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City | Omaha |
State | Nebraska (NE) |
Post Code | 681143246 |
Phone Number | 4025586220 |
Fax Number | 4025583849 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
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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What is the unique identifier code issued to Mg Dds Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Mg Dds Pc has been assigned the NPI (National Provider Identifier) 1457472342. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Mg Dds Pc is located?
The Mg Dds Pc is situated at the following address: 1113 N 72Nd St, Omaha, NE, 681143246.
What is Mg Dds Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mg Dds Pc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457472342 to Mg Dds Pc?
The Centers for Medicare & Medicaid Services originally issued the 1457472342 to Mg Dds Pc on 2007-04-02.
When was the Mg Dds Pc's information last updated?
The Mg Dds Pc's information was last updated on 2020-08-22.