Provider Demographics
NPI:1427789221
Name:FABRO, WESTIN SCOTT TAKESHI (DDS)
Entity type:Individual
Prefix:DR
First Name:WESTIN
Middle Name:SCOTT TAKESHI
Last Name:FABRO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 CALIFORNIA PLZ
Mailing Address - Street 2:APT 2106
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131
Mailing Address - Country:US
Mailing Address - Phone:808-232-3113
Mailing Address - Fax:
Practice Address - Street 1:3585 N 168TH CT
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-2201
Practice Address - Country:US
Practice Address - Phone:402-614-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE78631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice