Organization
ORAL SURGERY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON D. STINEMAN D.D.S., M.D. (OWNER/PRESIDENT)
(402) 644-4452
Entity
Organization
Contact information
Practice address
2304 TAYLOR AVE, NORFOLK, NE 68701-4537
(402) 644-4452
(402) 644-4454
Mailing address
2304 TAYLOR AVE, NORFOLK, NE 68701-4537
(402) 644-4452
(402) 644-4454
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6026
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025867400
—
NE
Enumeration date
11/08/2010
Last updated
04/07/2017
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