Individual provider · Type 1 NPI
John D. Andersen, DDS
Oral and Maxillofacial Surgery (Dentist) · Omaha, NE
NPI number
1306940770
Active
Practice location
13215 Birch St, Suite 100
Omaha, NE 68164-5431
Mailing address
201 Ridge St, Suite 308
Council Bluffs, IA 51503-4643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7220 (IA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1306940770
John D. Andersen, DDS's National Provider Identifier is 1306940770, issued on Sep 7, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Omaha, NE. The record was last updated on Dec 22, 2007.