Organization
SE NEBRASKA DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C NEUMANN DDS (OWNER)
(402) 267-2325
Entity
Organization
Contact information
Practice address
105 W ELDORA AVE, WEEPING WATER, NE 68463-4201
(402) 267-2325
(402) 267-2725
Mailing address
105 W ELDORA AVE, P.O. BOX 403, WEEPING WATER, NE 68463-4201
(402) 267-2325
(402) 267-2725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6172
NE
122300000X
Dentist
Primary
6707
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025741800
—
NE
Enumeration date
05/11/2011
Last updated
05/11/2011
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