NPI 1013297332

Phillip Tracy Brigden, DDS

Practitioner General Practice Dentistry Omaha, NE

Practice location

Address: 11919 Grant St STE 140, Omaha, NE 68164-3475
Phone: (402) 493-4175
Fax: (877) 811-8129

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5969 (NE)

Other Dentist providers in Nebraska →

Dentist

Dental Providers Taxonomy 122300000X Licence 5969 (NE)

Registry record

NPI: 1013297332
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2011
Record last updated: 18 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.