Individual
STUART J. MCNALLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3932 S 24TH ST, OMAHA, NE 68107-1849
(402) 733-3932
(402) 733-1933
Mailing address
3932 S 24TH ST, OMAHA, NE 68107-1849
(402) 733-3932
(402) 733-1933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6560
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744724
UNITED CONCORDIA ID
NE
05
—
47071268413
—
NE
05
—
47071268419
—
NE
01
—
5404
BCBS PROVIDER ID
NE
Enumeration date
12/01/2005
Last updated
07/09/2007
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