Individual
MITCHELL JAY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
2222 S 16TH ST, SUITE 300, LINCOLN, NE 68502
(402) 435-0044
(402) 435-7010
Mailing address
2222 S 16TH ST, STE 300, LINCOLN, NE 68502
(402) 435-0044
(402) 435-7010
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5504
NE
174400000X
Specialist
Primary
18887
NE
Other
Enumeration date
10/24/2005
Last updated
09/11/2023
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