Organization
STEPHEN J MANCUSO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JOSEPH MANCUSO DDS (OWNER/DENTIST)
(402) 564-7180
Entity
Organization
Contact information
Practice address
2921 13TH ST, COLUMBUS, NE 68601-4829
(402) 564-7180
(402) 564-7042
Mailing address
2921 13TH ST, COLUMBUS, NE 68601-4829
(402) 564-7180
(402) 564-7042
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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