Individual
DR. MICHAEL PATRICK SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7975 L ST, OMAHA, NE 68127-1731
(402) 592-1773
(402) 932-2547
Mailing address
7975 L ST, OMAHA, NE 68127-1731
(402) 592-1773
(402) 932-2547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4890
NE
1223G0001X
General Practice Dentistry
4890
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905463
—
IA
05
—
470759931-00
—
NE
01
—
5366
BLUE CROSS AND BLUE SHIEL
NE
01
—
UNITED CONCORDIA
PROVIDER #
NE
Enumeration date
03/29/2006
Last updated
08/10/2011
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