| 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 |
Oral Surgery Center Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Lakeridge Dr, Norfolk, NE 68701 Phone: 402-644-4452 Fax: 402-644-4454 | |
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