# ORAL SURGERY CENTER, P.C.

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

## Provider details

- **NPI number:** 1598041352
- **Authorized official:** DR. JON DANIEL STINEMAN D.D.S., M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 644-4452

## Contact information

- **Practice address:** 2071 33RD AVE, SUITE B, COLUMBUS, NE 68601-3178
- **Practice address phone:** (402) 562-5557
- **Practice address fax:** (402) 562-5553
- **Mailing address:** 2501 LAKERIDGE DR, SUITE 100, NORFOLK, NE 68701-2558
- **Mailing address phone:** (402) 644-4452
- **Mailing address fax:** (402) 644-4454

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2011
- **Last updated:** 10/25/2011