Provider Demographics
NPI:1659734374
Name:MONNIER, AUBRY BETH (DMD)
Entity Type:Individual
Prefix:
First Name:AUBRY
Middle Name:BETH
Last Name:MONNIER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17611 ADAMS CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-3026
Mailing Address - Country:US
Mailing Address - Phone:402-706-1409
Mailing Address - Fax:
Practice Address - Street 1:6909 S 157TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-3051
Practice Address - Country:US
Practice Address - Phone:402-891-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEIN PROCESS1223G0001X
NE7319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist