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General NPI Number Information
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NPI Number | 1558280164
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Entity Type | Organization
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Legal Business Name | KIMBERLY J POLLEY DDS, LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1941 S 42ND ST STE 310
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City | OMAHA
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State | NE
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Zip | 68105-2959
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Country | US
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Telephone | 402-345-7800
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Fax | 402-345-7508
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Provider Business Mailing Address
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Address Line | 2720 N 182ND ST
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City | ELKHORN
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State | NE
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Zip | 68022-1599
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Country | US
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Telephone | 402-345-7800
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Fax | 402-345-7508
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. KIMBERLY JACQUELINE POLLEY
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Credential |
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Telephone | 402-345-7800
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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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