Individual
JUSTIN JEFFREY SUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 559-6100
Mailing address
1920 FARNAM ST APT 623, OMAHA, NE 68102-1987
(916) 934-6368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
185
NE
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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