| Oral Surgery Center, P.c. | |
|
2071 33rd Ave Suite B Columbus NE 68601-3178 | |
| (402) 562-5557 | |
| (402) 562-5553 |
| Full Name | Oral Surgery Center, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2071 33rd Ave, Columbus, Nebraska |
| Authorized Official Name and Position | Jon Daniel 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. 2501 Lakeridge Dr Suite 100 Norfolk NE 68701-2558 Ph: (402) 644-4452 | Oral Surgery Center, P.c. 2071 33rd Ave Suite B Columbus NE 68601-3178 Ph: (402) 562-5557 |
| NPI Number | 1598041352 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 10/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598041352 | NPI | - | NPPES |
| 10025886100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Nebraska) | Primary |
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