Individual
DR. JOSEPH BRUCE BAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
40TH HOLDREGE, LINCOLN, NE 68583-0757
(402) 472-8900
(402) 472-6681
Mailing address
40TH HOLDREGE, LINCOLN, NE 68583-0757
(402) 472-8900
(402) 472-6681
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5588
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078998500
—
NE
01
—
5840
BC/BS
NE
Enumeration date
10/17/2006
Last updated
01/29/2008
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