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Individual

DR. JEROME M. WEES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
14625 CALIFORNIA ST, OMAHA, NE 68154-1950
(402) 397-7777
(402) 390-9336
Mailing address
14625 CALIFORNIA ST, OMAHA, NE 68154-1950
(402) 397-7777
(402) 390-9336

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5271
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05855
BCBS OF NE
NE
05
1922633
IA
05
47054251500
NE
Enumeration date
07/13/2005
Last updated
02/04/2008
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