Individual
JAY D HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
989375 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198
(402) 559-6000
(402) 559-9607
Mailing address
7270 RACHEL RD, LINCOLN, NE 68516-1023
(402) 380-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5406
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-069639100
—
NE
Enumeration date
10/05/2006
Last updated
10/22/2018
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