# MIDWEST ORAL & MAXILLOFACIAL SURGERY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316999493
- **Authorized official:** DR. MICHAEL P. MCDERMOTT D.D.S. (ORAL SURGEON/OWNER)
- **Authorized official phone:** (402) 397-7777

## Contact information

- **Practice address:** 14625 CALIFORNIA ST, OMAHA, NE 68154-1950
- **Practice address phone:** (402) 397-7777
- **Practice address fax:** (402) 390-9336
- **Mailing address:** 14625 CALIFORNIA ST, OMAHA, NE 68154-1950
- **Mailing address phone:** (402) 397-7777
- **Mailing address fax:** (402) 390-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 01/31/2008