Individual
DR. PETER CHRISTOPHER JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5404 AMES AVENUE, OMAHA, NE 68104-2884
(402) 451-3126
(402) 453-6147
Mailing address
5404 AMES AVENUE, OMAHA, NE 68104-2884
(402) 451-3126
(402) 453-6147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4320
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4320
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47056311300
—
NE
Enumeration date
12/11/2006
Last updated
09/11/2025
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