Stacy L Moffenbier in Omaha - Periodontics

Stacy L Moffenbier - NPI 1396769949

Stacy L Moffenbier is a Periodontics in Omaha, Nebraska. Stacy L Moffenbier practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stacy L Moffenbier is 1396769949. The last update date is 2007-07-08.

Stacy L Moffenbier's current location address is 11414 W Center Rd, Omaha, Nebraska. You can contact this provider via phone number 4029330300 and fax number 4029330302. The mailing address for Stacy L Moffenbier is 11414 W Center Rd, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy L Moffenbier
Address 11414 W Center Rd, Omaha, Nebraska
Phone Number 4029330300
Fax Number 4029330302
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1396769949
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11414 W Center Rd
City Omaha
State Nebraska (NE)
Post Code 681444486
Phone Number 4029330300
Fax Number 4029330302

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 5787
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Stacy L Moffenbier

What is the unique provider identifier assigned to Stacy L Moffenbier?

The Stacy L Moffenbier has been issued the NPI (National Provider Identifier) 1396769949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Stacy L Moffenbier is located?

The Stacy L Moffenbier is situated at the following address: 11414 W Center Rd, Omaha, NE, 681444486.

What is Stacy L Moffenbier's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stacy L Moffenbier is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

When was the Stacy L Moffenbier's 1396769949 issued?

The Stacy L Moffenbier's 1396769949 was issued on 2006-07-27.

When was the information related to Stacy L Moffenbier most recently updated or refreshed?

The details pertaining to the Stacy L Moffenbier, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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