Individual
BRETT BENNETT WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68105-1026
(402) 559-5999
Mailing address
3601 JONES ST APT 322, OMAHA, NE 68105-1521
(435) 659-9452
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7950
NE
208600000X
Surgery Physician
Primary
7950
NE
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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