Dental Specialties

LBN: Dental Specialties
Dental Specialties is an health care organization with primary practice located at 14133 Q St , Omaha NE 68137. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Dental Specialties can be contacted via phone (402) 895-1900, or through Rakes, George Michael via phone (402) 895-1900.

Contact Information

Primary practice address
14133 Q St Omaha NE 68137
Fax: (402) 895-5726
Website:
Authorized official contact:
Name: Rakes, George Michael Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6712 Nebraska
Dental Providers / Pediatric Dentistry 1223P0221X 4879 Nebraska
Dental Providers / Pediatric Dentistry 1223P0221X 6335 Nebraska

Profile Details

NPI number 1952623902
LBN Legal business name Dental Specialties
DBA Doing business as
Authorized official Rakes, George Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2010
Last updated Feb 18th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952623902 NPPES
Nebraska MEDICAID 10025232300

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