Individual
THOMAS J HUERTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2410 S 73RD ST, OMAHA, NE 68124-2395
(402) 397-4226
Mailing address
2410 S 73RD ST, OMAHA, NE 68124-2395
(402) 397-4226
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4835
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025952700
—
NE
Enumeration date
10/12/2016
Last updated
10/12/2016
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