| Premier Oral And Maxillofacil Surg | |
|
546 S Washington St Papillion NE 68046-2632 | |
| (402) 916-5800 | |
| (402) 916-5900 |
| Full Name | Premier Oral And Maxillofacil Surg |
|---|---|
| Speciality | Clinic/Center |
| Location | 546 S Washington St, Papillion, Nebraska |
| Authorized Official Name and Position | Afolabi Olufolahan Ogunleye (OWNER) |
| Authorized Official Contact | 4027086222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Oral And Maxillofacil Surg 546 S Washington St Papillion NE 68046-2632 Ph: (402) 916-5800 | Premier Oral And Maxillofacil Surg 546 S Washington St Papillion NE 68046-2632 Ph: (402) 916-5800 |
| NPI Number | 1558690545 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 02/15/2011 |
| Medicare PECOS PAC ID | 6204017536 |
|---|---|
| Medicare Enrollment ID | O20110221000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558690545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6642 (Nebraska) | Primary |
| Provider Name | Afolabi O Ogunleye |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1649281700 PECOS PAC ID: 5294830576 Enrollment ID: I20070416000087 |
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