Provider Demographics
NPI:1477818862
Name:7 DAY DENTAL OF OMAHA, LLC
Entity Type:Organization
Organization Name:7 DAY DENTAL OF OMAHA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:POPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-738-9666
Mailing Address - Street 1:2575 N 5TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-5092
Mailing Address - Country:US
Mailing Address - Phone:775-738-9666
Mailing Address - Fax:775-738-6815
Practice Address - Street 1:7337 FARNAM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4627
Practice Address - Country:US
Practice Address - Phone:402-397-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:7 DAY DENTAL OF NEVADA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4167261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental