Provider Demographics
NPI:1750966016
Name:NEBRASKA DENTAL ANESTHESIA, LLC
Entity type:Organization
Organization Name:NEBRASKA DENTAL ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:N
Authorized Official - Last Name:BROWNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-652-6958
Mailing Address - Street 1:909 CAPITOL AVENUE
Mailing Address - Street 2:#101
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1393
Mailing Address - Country:US
Mailing Address - Phone:531-333-2241
Mailing Address - Fax:
Practice Address - Street 1:909 CAPITOL AVENUE
Practice Address - Street 2:#101
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1393
Practice Address - Country:US
Practice Address - Phone:531-333-2241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDental AnesthesiologyGroup - Single Specialty