Healthcare Provider Details

I. General information

NPI: 1518803733
Provider Name (Legal Business Name): DAVID J MILLEA DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2746 N 63RD ST
OMAHA NE
68104-4030
US

IV. Provider business mailing address

2746 N 63RD ST
OMAHA NE
68104-4030
US

V. Phone/Fax

Practice location:
  • Phone: 402-553-1042
  • Fax: 402-553-1042
Mailing address:
  • Phone: 402-553-1042
  • Fax: 402-553-1042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JESSICA NELSON
Title or Position: OFFICE MANAGER
Credential: REFDA
Phone: 402-553-1042