Most Relevant Information
Provider Data
| NPI Number: | 1003026782 |
| Provider Name: | MARK THOMAS CHASE D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 5456 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
8424 W CENTER RD
SUITE 100
OMAHA
NE
681243138
Practice Location Phone/Fax
| Phone: | 4023971300 |
| Fax: | 4023976449 |
Provider Mailing Location
8424 W CENTER RD
SUITE 100
OMAHA
NE
681243138
Provider Mailing Phone/Fax
| Phone: | 4023971300 |
| Fax: | 4023976449 |