Gl Mendlik Dds Pc in Omaha - Orthodontics And Dentofacial Orthopedics

Gl Mendlik Dds Pc - NPI 1497840623

Gl Mendlik Dds Pc is a Orthodontics And Dentofacial Orthopedics in Omaha, Nebraska. Gl Mendlik Dds Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gl Mendlik Dds Pc is 1497840623. The last update date is 2020-08-22.

Gl Mendlik Dds Pc's current location address is 17775 Mason Street, Omaha, Nebraska. You can contact this provider via phone number 4023342000 and fax number 4023343024. The mailing address for Gl Mendlik Dds Pc is 17775 Mason Street, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gl Mendlik Dds Pc
Address 17775 Mason Street, Omaha, Nebraska
Phone Number 4023342000
Fax Number 4023343024
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mendlik Garrett Mark
Credentials DDS MS
Telephone Number 4023342000

NPI Number Detail

NPI Number 1497840623
Provider Enumeration Date 2006-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 17775 Mason Street
City Omaha
State Nebraska (NE)
Post Code 68118
Phone Number 4023342000
Fax Number 4023343024

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 6097
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Gl Mendlik Dds Pc

What is the unique provider identifier assigned to Gl Mendlik Dds Pc?

The Gl Mendlik Dds Pc has been issued the NPI (National Provider Identifier) 1497840623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Gl Mendlik Dds Pc is physically located?

The Gl Mendlik Dds Pc is situated at the following address: 17775 Mason Street, Omaha, NE 68118.

What is Gl Mendlik Dds Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gl Mendlik Dds Pc is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1497840623 to Gl Mendlik Dds Pc?

The Centers for Medicare & Medicaid Services originally issued the 1497840623 to Gl Mendlik Dds Pc on 2006-10-04.

As of what date were the details pertaining to Gl Mendlik Dds Pc last refreshed?

The information related to the Gl Mendlik Dds Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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