Individual
DR. JEFFREY ROGER NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2456 SOUTH 120 STREET, OMAHA, NE 68144
(402) 333-1313
(402) 333-0777
Mailing address
2456 SOUTH 120 STREET, OMAHA, NE 68144
(402) 333-1313
(402) 333-0777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-890642600
—
NE
Enumeration date
05/01/2007
Last updated
07/08/2007
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