Provider Demographics
NPI:1376203794
Name:OMAHA CHILDREN'S DENTAL SPECIALISTS
Entity type:Organization
Organization Name:OMAHA CHILDREN'S DENTAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-932-9263
Mailing Address - Street 1:5118 N 156TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-3226
Mailing Address - Country:US
Mailing Address - Phone:402-932-9263
Mailing Address - Fax:402-819-2829
Practice Address - Street 1:5118 N 156TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-3226
Practice Address - Country:US
Practice Address - Phone:402-932-9263
Practice Address - Fax:402-819-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty