Cristin C Wilson Dds

LBN: Cristin C Wilson Dds
Cristin C Wilson Dds is an health care organization with primary practice located at 11717 Burt St Suite 100, Omaha NE 68154-1500. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Cristin C Wilson Dds can be contacted via phone (402) 492-9476, or through Daubert, Donna via phone (402) 492-9476.

Contact Information

Primary practice address
11717 Burt St Suite 100 Omaha NE 68154-1500
Phone: (402) 492-9476
Fax: (402) 492-9838
Website:
Map and Directions
Authorized official contact:
Name: Daubert, Donna Certified Dental Assistant (CDA)
Phone: (402) 492-9476

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5740 Nebraska
Dental Providers / General Practice 1223G0001X 7113 Nebraska

Profile Details

NPI number 1194148312
LBN Legal business name Cristin C Wilson Dds
DBA Doing business as
Authorized official Daubert, Donna Certified Dental Assistant (CDA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2014
Last updated Jan 23rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194148312 NPPES
Nebraska MEDICAID 10026100400

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