THOMAS J FORMANACK D.D.S.
NPI 1023193182
Dentist - General Practice in Omaha, NE

Q: What is Thomas Formanack's NPI number?

The NPI number for Thomas Formanack is 1023193182. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Thomas Formanack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Formanack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2006

17775 MASON ST, SUITE 1, OMAHA, NE 68118(402) 758-9399(402) 758-0030 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas J Formanack D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS J FORMANACK D.D.S. (NPI 1023193182) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (4024) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1023193182

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTHOMAS J FORMANACKCredential: D.D.S.

Location Address17775 MASON ST, SUITE 1Omaha, NE 68118-3559

Mailing Address16597 Hascall StOmaha, NE 68130-2060 · (402) 697-9401 · Fax (402) 758-0030

Phone(402) 758-9399

Fax(402) 758-0030

Sole ProprietorNo

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023193182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 4024

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

17775 MASON ST, Omaha, NE 68118

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY BEALS D.D.S.

Dentist (General Practice)

17775 MASON ST, SUITE 1
OMAHA, NE 68118

Douglas County (402) 758-9399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Formanack's NPI number?

The NPI number for Thomas Formanack is 1023193182. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Thomas Formanack located?

Thomas Formanack practices at 17775 Mason St Suite 1, Omaha, NE 68118. The listed phone number is (402) 758-9399.

What is Thomas Formanack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Thomas Formanack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.