Greg Stuart Samuelson in Omaha - Orthodontics And Dentofacial Orthopedics
Greg Stuart Samuelson - NPI 1316051469
Greg Stuart Samuelson is a Orthodontics And Dentofacial Orthopedics in Omaha, Nebraska. Greg Stuart Samuelson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Greg Stuart Samuelson is 1316051469. The last update date is 2007-07-09.
Greg Stuart Samuelson's current location address is 13808 W Maple Rd, Omaha, Nebraska. You can contact this provider via phone number 4024932268 and fax number 4024458370. The mailing address for Greg Stuart Samuelson is 13808 W Maple Rd, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg Stuart Samuelson |
|---|---|
| Address | 13808 W Maple Rd, Omaha, Nebraska |
| Phone Number | 4024932268 |
| Fax Number | 4024458370 |
| Sole Proprietor | Y |
| Credentials | D.D.S. M.S |
NPI Number Detail
| NPI Number | 1316051469 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 13808 W Maple Rd |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681646231 |
| Phone Number | 4024932268 |
| Fax Number | 4024458370 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 5341 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025140300 | NE | -- | |
| 1225359 | IA | -- |
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What is the Greg Stuart Samuelson's unique identification number?
The Greg Stuart Samuelson has been assigned the NPI (National Provider Identifier) Number 1316051469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Greg Stuart Samuelson located?
The Greg Stuart Samuelson is located at 13808 W Maple Rd, Omaha, NE 681646231.
What is the Greg Stuart Samuelson's area of specialization and corresponding taxonomy classification?
The Greg Stuart Samuelson's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
When did Greg Stuart Samuelson receive its 1316051469 assignment?
The Greg Stuart Samuelson was assigned its 1316051469 on 2006-08-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Greg Stuart Samuelson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Greg Stuart Samuelson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1982607784
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