# SE NEBRASKA DENTAL GROUP, PC

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

## Provider details

- **NPI number:** 1992097778
- **Authorized official:** DR. MATTHEW C NEUMANN DDS (OWNER)
- **Authorized official phone:** (402) 267-2325

## Contact information

- **Practice address:** 105 W ELDORA AVE, WEEPING WATER, NE 68463-4201
- **Practice address phone:** (402) 267-2325
- **Practice address fax:** (402) 267-2725
- **Mailing address:** 105 W ELDORA AVE, P.O. BOX 403, WEEPING WATER, NE 68463-4201
- **Mailing address phone:** (402) 267-2325
- **Mailing address fax:** (402) 267-2725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6172 | NE | — |
| 122300000X | Dentist | 6707 | NE | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 05/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025741800 | — | NE |