Heartland Endodontic Specialists, Llc

LBN: Heartland Endodontic Specialists, Llc
Heartland Endodontic Specialists, Llc is an health care organization with primary practice located at 615 N 90Th St , Omaha NE 68114-2821. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Heartland Endodontic Specialists, Llc can be contacted via phone (402) 393-5050, or through Ellison, Larry Johnson via phone (402) 393-5050.

Contact Information

Primary practice address
615 N 90Th St Omaha NE 68114-2821
Phone: (402) 393-5050
Fax: (402) 393-3401
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Larry Johnson Doctor of Dental Surgery (DDS)
Phone: (402) 393-5050

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X Nebraska

Profile Details

NPI number 1871690842
LBN Legal business name Heartland Endodontic Specialists, Llc
DBA Doing business as
Authorized official Ellison, Larry Johnson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 28th, 2008 - about 16 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 1871690842 NPPES
Nebraska Other 460446 UNITED CONCORDIA

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