Oral Surgery Center, P.c. | |
2304 Taylor Ave Norfolk NE 68701-4537 | |
(402) 644-4452 | |
(402) 644-4454 |
Full Name | Oral Surgery Center, P.c. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2304 Taylor Ave, Norfolk, Nebraska |
Authorized Official Name and Position | Jon D. Stineman (OWNER/PRESIDENT) |
Authorized Official Contact | 4026444452 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oral Surgery Center, P.c. 2304 Taylor Ave Norfolk NE 68701-4537 Ph: (402) 644-4452 | Oral Surgery Center, P.c. 2304 Taylor Ave Norfolk NE 68701-4537 Ph: (402) 644-4452 |
NPI Number | 1891096814 |
---|---|
Provider Enumeration Date | 11/08/2010 |
Last Update Date | 04/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891096814 | NPI | - | NPPES |
10025867400 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6026 (Nebraska) | Primary |
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