Individual provider · Type 1 NPI

Alexander Dmitry Banketov, DDS

Dentist · Omaha, NE

NPI number 1124857164 Active

Practice location

4920 S 30th St Ste 103
Omaha, NE 68107-1656

Call (402) 734-4110 Map

Fax (402) 734-3990

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X13921 (NC)
Dentist Primary 122300000X8056 (NE)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1124857164

Alexander Dmitry Banketov, DDS's National Provider Identifier is 1124857164, issued on Jul 29, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Omaha, NE. The record was last updated on Jan 15, 2025.