Individual
STEPHEN V WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
13215 BIRCH DR, SUITE 100, OMAHA, NE 68164-5431
(402) 390-0770
(402) 397-1074
Mailing address
1437 E 23RD ST, FREMONT, NE 68025-2433
(402) 721-3600
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18252
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47052802413
—
NE
Enumeration date
10/10/2006
Last updated
09/29/2009
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