Jason Bradford Untrauer in Omaha - Oral & Maxillofacial Surgery
Jason Bradford Untrauer - NPI 1164686648
Jason Bradford Untrauer is a Oral & Maxillofacial Surgery in Omaha, Nebraska. Jason Bradford Untrauer practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Jason Bradford Untrauer is 1164686648. The last update date is 2018-03-29.
Jason Bradford Untrauer's current location address is 988102 Nebraska Medical Ctr, Omaha, Nebraska. You can contact this provider via phone number 4025595999. The mailing address for Jason Bradford Untrauer is 988102 Nebraska Medical Ctr, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Bradford Untrauer |
|---|---|
| Address | 988102 Nebraska Medical Ctr, Omaha, Nebraska |
| Phone Number | 4025595999 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, DDS |
NPI Number Detail
| NPI Number | 1164686648 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2018-03-29 |
Provider Mailing Address Detail
| Address | 988102 Nebraska Medical Ctr |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681988102 |
| Phone Number | 4025595999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 25465 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25465 | NE | NE LICENSE |
Post Comment/ Review Below
What is the Jason Bradford Untrauer's unique identification number?
The Jason Bradford Untrauer has been assigned the NPI (National Provider Identifier) Number 1164686648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jason Bradford Untrauer is physically located?
The Jason Bradford Untrauer is situated at the following address: 988102 Nebraska Medical Ctr, Omaha, NE 681988102.
What is Jason Bradford Untrauer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Bradford Untrauer is Oral & Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 204E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164686648 to Jason Bradford Untrauer?
The Centers for Medicare & Medicaid Services originally issued the 1164686648 to Jason Bradford Untrauer on 2008-07-15.
When was the information pertaining to Jason Bradford Untrauer most recently updated or revised?
The details related to Jason Bradford Untrauer, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-29.