Provider Demographics
NPI:1861619199
Name:GREG TOROSIAN, DDS, INC.
Entity type:Organization
Organization Name:GREG TOROSIAN, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDOUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-393-5857
Mailing Address - Street 1:8761 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2109
Mailing Address - Country:US
Mailing Address - Phone:402-393-5857
Mailing Address - Fax:402-393-8733
Practice Address - Street 1:8761 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2109
Practice Address - Country:US
Practice Address - Phone:402-393-5857
Practice Address - Fax:402-393-8733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE61111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty