Organization
ORAL MAXILLO FACIAL SURGEONS, INC
Active
Other names
Oral Maxillofacial & Facial Plastic Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J SMITH (CONTROLLER)
(402) 390-0770
Entity
Organization
Contact information
Practice address
13215 BIRCH DR, SUITE 100, OMAHA, NE 68114
(402) 390-0770
(402) 390-1074
Mailing address
13215 BIRCH DR, SUITE 100, OMAHA, NE 68164-5431
(402) 390-0770
(402) 390-1074
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
05/13/2008
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