Innovative Dental, P.C.

LBN: Innovative Dental, P.C.
Innovative Dental, P.C. is an health care organization with primary practice located at 13625 California St Suite 300, Omaha NE 68154-5233. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Innovative Dental, P.C. can be contacted via phone (402) 933-8005, or through Berry, Thomas P via phone (402) 933-8005.

Contact Information

Primary practice address
13625 California St Suite 300 Omaha NE 68154-5233
Phone: (402) 933-8005
Fax: (402) 504-1338
Website:
Map and Directions
Authorized official contact:
Name: Berry, Thomas P Doctor of Dental Surgery (DDS)
Phone: (402) 933-8005

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6521 Nebraska

Profile Details

NPI number 1932233095
LBN Legal business name Innovative Dental, P.C.
DBA Doing business as
Authorized official Berry, Thomas P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated May 7th, 2008 - about 17 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 1932233095 NPPES
Nebraska MEDICAID 10025440200

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