Individual
DR. STEPHEN BURTON MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2503 S 140TH CIR, OMAHA, NE 68144-2315
(402) 333-3151
Mailing address
2503 S 140TH CIR, OMAHA, NE 68144-2315
(402) 333-3151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4333
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-081460401
—
NE
Enumeration date
05/10/2007
Last updated
07/08/2007
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