Individual
DR. MICHAEL K OBENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2605 SO 84TH STR, OMAHA, NE 68124
(402) 597-2777
(402) 597-3643
Mailing address
PO BOX 788, BOYS TOWN, NE 68010-0788
(402) 393-2726
(402) 597-3643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5964
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0728857
—
IA
01
—
556950
UNITED CONCORDIA
—
Enumeration date
01/31/2007
Last updated
10/06/2021
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