Jeffrey Roger Nielsen in Omaha - General Practice

Jeffrey Roger Nielsen - NPI 1215158126

Jeffrey Roger Nielsen is a General Practice in Omaha, Nebraska. Jeffrey Roger Nielsen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Roger Nielsen is 1215158126. The last update date is 2007-07-08.

Jeffrey Roger Nielsen's current location address is 2456 South 120 Street, Omaha, Nebraska. You can contact this provider via phone number 4023331313 and fax number 4023330777. The mailing address for Jeffrey Roger Nielsen is 2456 South 120 Street, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Roger Nielsen
Address 2456 South 120 Street, Omaha, Nebraska
Phone Number 4023331313
Fax Number 4023330777
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1215158126
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2456 South 120 Street
City Omaha
State Nebraska (NE)
Post Code 68144
Phone Number 4023331313
Fax Number 4023330777

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4857
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20-890642600 NE --

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FAQs about Jeffrey Roger Nielsen

What is the unique identifier code issued to Jeffrey Roger Nielsen by the Centers for Medicare & Medicaid Services?

The Jeffrey Roger Nielsen has been assigned the NPI (National Provider Identifier) 1215158126. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeffrey Roger Nielsen is physically located?

The Jeffrey Roger Nielsen is situated at the following address: 2456 South 120 Street, Omaha, NE 68144.

What is Jeffrey Roger Nielsen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeffrey Roger Nielsen's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Jeffrey Roger Nielsen receive its 1215158126 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Roger Nielsen was assigned its 1215158126 by the Centers for Medicare & Medicaid Services on 2007-05-01.

As of what date were the details related to Jeffrey Roger Nielsen most recently updated or revised?

The information pertaining to Jeffrey Roger Nielsen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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