Individual
DR. MATTHEW T MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2623 N 72ND ST, OMAHA, NE 68134-7013
(402) 553-8552
Mailing address
4022 N 93RD ST, OMAHA, NE 68134-3922
(402) 573-9442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6270
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11365279900
—
NE
Enumeration date
11/22/2006
Last updated
07/08/2007
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