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Organization
MICHAEL J HOOVER DDS PC
Active
Organization
MICHAEL J HOOVER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J HOOVER DDS (PRESIDENT)
(402) 397-8717
Entity
Organization
Contact information
Practice address
7348 BLONDO ST, OMAHA, NE 68134-6910
(402) 397-8717
Mailing address
7348 BLONDO ST, OMAHA, NE 68134-6910
(402) 397-8717
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
3447
NE
261QD0000X
Dental Clinic/Center
Primary
5940
NE
261QD0000X
Dental Clinic/Center
7162
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259539-00
—
NE
05
—
470599282-00
—
NE
Enumeration date
11/21/2016
Last updated
11/21/2016
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