Pediatric Dentistry

LBN: Unmc College Of Dentistry
Pediatric Dentistry is an health care organization with primary practice located at 8200 Dodge St 2Nd Floor Spc Children'S Hospital, Omaha NE 68114-4113. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Unmc College Of Dentistry can be contacted via phone (402) 559-6100, or through Haack, Randal L via phone (402) 472-3492.

Contact Information

Primary practice address
8200 Dodge St 2Nd Floor Spc Children'S Hospital Omaha NE 68114-4113
Phone: (402) 559-6100
Fax: (402) 552-7765
Website:
Map and Directions
Authorized official contact:
Name: Haack, Randal L PH.D.
Phone: (402) 472-3492

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1629158365
LBN Legal business name Unmc College Of Dentistry
DBA Doing business as Pediatric Dentistry
Authorized official Haack, Randal L PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 19th, 2013 - about 12 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 1629158365 NPPES
Nebraska MEDICAID 10025084700
Nebraska MEDICAID 2956599

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