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General NPI Number Information
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NPI Number | 1437075017
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Entity Type | Organization
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Legal Business Name | CT DENTAL ASSOCIATES LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 14707 CALIFORNIA ST STE 15
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City | OMAHA
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State | NE
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Zip | 68154-1900
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Country | US
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Telephone | 402-498-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 N 188TH ST
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City | ELKHORN
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State | NE
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Zip | 68022-4541
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Country | US
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Telephone | 630-430-9191
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. VINCENT COLLETTI
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Credential | DDS
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Telephone | 402-498-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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