Organization
SANDHILLS ORAL & FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WEBER MD (PARTNER)
(308) 289-0290
Entity
Organization
Contact information
Practice address
504 W 42ND STREET, KEARNEY, NE 68845
(402) 463-3088
Mailing address
504 W 42ND STREET, KEARNEY, NE 68845
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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