# ORAL SURGERY CENTER, P.C.

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

## Provider details

- **NPI number:** 1891096814
- **Authorized official:** DR. JON D. STINEMAN D.D.S., M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 644-4452

## Contact information

- **Practice address:** 2304 TAYLOR AVE, NORFOLK, NE 68701-4537
- **Practice address phone:** (402) 644-4452
- **Practice address fax:** (402) 644-4454
- **Mailing address:** 2304 TAYLOR AVE, NORFOLK, NE 68701-4537
- **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) | 6026 | NE | Yes |

## Other

- **Enumeration date:** 11/08/2010
- **Last updated:** 04/07/2017