Provider Demographics
NPI:1699468017
Name:TODAY'S DENTAL REGENCY, LLC
Entity type:Organization
Organization Name:TODAY'S DENTAL REGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:RISING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-799-6453
Mailing Address - Street 1:260 REGENCY PARKWAY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3733
Mailing Address - Country:US
Mailing Address - Phone:402-399-0900
Mailing Address - Fax:
Practice Address - Street 1:260 REGENCY PARKWAY DR STE 104
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3733
Practice Address - Country:US
Practice Address - Phone:402-399-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty