Individual provider · Type 1 NPI
Thomas J. Formanack, DDS
General Practice Dentistry · Omaha, NE
NPI number
1023193182
Active
Practice location
17775 Mason St, Suite 1
Omaha, NE 68118-3559
Fax (402) 758-0030
Mailing address
16597 Hascall St
Omaha, NE 68130-2060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 4024 (NE) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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About NPI 1023193182
Thomas J. Formanack, DDS's National Provider Identifier is 1023193182, issued on Oct 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Omaha, NE. The record was last updated on Jul 8, 2007.