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BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC NPI 1558690545


NPI Information

NPI: 1558690545
Provider Name: BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC

Doing Business As: PREMIER ORAL AND MAXILLOFACIL SURG

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
546 S WASHINGTON ST
PAPILLION, NE
ZIP 68046
Phone: (402) 916-5800
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BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC is a dental clinic center in Papillion, NE. BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC NPI is 1558690545. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Oral And Maxillofacil Surg.

The provider's business location address is:

546 S WASHINGTON ST
PAPILLION, NE
ZIP 68046-632
Phone: (402) 916-5800
Fax: (402) 916-5900

The provider's authorized official is Afolabi Olufolahan Ogunleye .
The authorized official title is Owner and has the following contact phone number (402) 708-6222.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 2/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental6642NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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