Individual
PAUL WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20281 WIRT ST, ELKHORN, NE 68022-2694
(402) 289-3522
(402) 289-0501
Mailing address
20281 WIRT ST, ELKHORN, NE 68022-2694
(402) 289-3522
(402) 289-0501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4861
NE
Other
Enumeration date
10/13/2005
Last updated
08/08/2023
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