Healthcare Provider Details

I. General information

NPI: 1437075017
Provider Name (Legal Business Name): CT DENTAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14707 CALIFORNIA ST STE 15
OMAHA NE
68154-1900
US

IV. Provider business mailing address

2517 N 188TH ST
ELKHORN NE
68022-4541
US

V. Phone/Fax

Practice location:
  • Phone: 402-498-0777
  • Fax:
Mailing address:
  • Phone: 630-430-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. VINCENT COLLETTI
Title or Position: OWNER/MEMBER
Credential: DDS
Phone: 402-498-0777