Individual
DR. PETER ROY STRAUB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15909 W MAPLE RD, SUITE 102, OMAHA, NE 68116-2004
(402) 991-6965
Mailing address
15909 W MAPLE RD, SUITE 102, OMAHA, NE 68116-2004
(402) 991-6965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5841
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05489
BCBS PROVIDER #
NE
01
—
969607
UNITED CONCORDIA PROVIDER
NE
Enumeration date
06/06/2006
Last updated
07/08/2007
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