DR. JOSEPH BRUCE BAVITZ (NPI# 1275614273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275614273 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH BRUCE BAVITZ |
| Credential | D.M.D. |
| Practice Address |
40th Holdrege Lincoln NE 68583-0757 |
| Practice Telephone | 4024728900 |
| Practice Fax Number | 4024726681 |
| Mailing Telephone | 4024728900 |
| Mailing Fax Number | 4024726681 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5588 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47078998500 | 05 | |
| NE | BC/BS | 5840 | 01 |
| Street Address |
40TH HOLDREGE |
| City | LINCOLN |
| State | NE |
| Zip Code | 68583-0757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427534106 | Landon Peterson | Dentist | 4000 E. Campus Loop, Lincoln, NE 68583 | 2018-07-16 |
| 1407375843 | Amanda Marie Dolen | Dental Hygienist | 4000 East Campus Loop S Rm. 2115, Lincoln, NE 68583 | 2017-09-18 |
| 1073984522 | Kelsey White | Dentist | 4000 E Campus Loop S, Lincoln, NE 68583 | 2015-10-09 |
| 1942619549 | Brandon Mendez | Dentist | 4000 E Campus Loop, University of Nebraska Medical Center, Lincoln, NE 68583 | 2014-08-07 |
| 1255747523 | Arturo Salinas Jr. | Dentist | 40th St & Holdrege St, Unmc College of Dentistry, Lincoln, NE 68583 | 2014-07-08 |
| 1528498979 | Paul Springer | Marriage & Family Therapist | East Campus, Family Resource Center, Lincoln, NE 68583 | 2013-11-21 |
| 1124308101 | Myhanh Thi Phan-rinne | Dentist | 40th & Holdrege #2037, Unmc Cod University Dental Associates, Lincoln, NE 68583 | 2011-08-23 |
| 1407077654 | Kimberly K Mcfarland | Dentist | 40th Holdrege St., Lincoln, NE 68583 | 2007-05-02 |
| 1619022183 | David Covey | Dentist | 40th and Holdrege St, Lincoln, NE 68583 | 2007-01-24 |
| 1295818151 | Amy C Killeen | Dentist | 40 Holdrege, Lincoln, NE 68583 | 2006-10-23 |
| Find all providers in zip 68583 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356772420 | Lincoln Aesthetic & Reconstructive Surgery PC | Dentist | 2222 S 16th St Ste 300, Lincoln, NE 68502-3785 | 2013-11-27 |
| 1760708218 | David J Rallis Dds Md Oral and Maxillofacial Surgery, PC | Dentist | 4110 A Street, Lincoln, NE 68510 | 2010-04-08 |
| 1780759423 | Darrell James Ebke | Dentist | 40th & Holdrege Street, Lincoln, NE 68583-0740 | 2006-11-21 |
| 1538117106 | Scott Patrick O'nele | Dentist | 1630 S 70th St, Suite 200, Lincoln, NE 68506-1500 | 2006-05-05 |
| 1891841060 | James William Wickless | Dentist | 6930 L St, Lincoln, NE 68510-2411 | 2007-01-28 |
| 1962589341 | David A. Blaha | Dentist | 1001 S 70th St, #105, Lincoln, NE 68510-7905 | 2006-11-01 |
| 1114008943 | Monte K Zysset | Dentist | 7555 S 57th St, Suite 1, Lincoln, NE 68516-6663 | 2006-10-18 |
| 1619997707 | Andrew Remington Glenn | Dentist | 3401 Plantation Dr, Suite 100, Lincoln, NE 68516-4712 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466081 | Village Pointe Oral Surgery P.C. | Dentist | 17121 Marcy St Ste 102, Omaha, NE 68118-3133 | 2020-04-22 |
| 1528554466 | Chad Sanders Sloan | Dentist | 984125 Nebraska Medical Center Dept of Omfs, Omaha, NE 68198-0001 | 2018-07-03 |
| 1740709724 | Christopher Treinen | Dentist | 984125 Ne Med Ctr, Omaha, NE 68198-0001 | 2017-09-12 |
| 1326402470 | Omaha Oral Surgery, LLC | Dentist | 5040 So 153rd St, Omaha, NE 68137-5067 | 2016-04-05 |
| 1871889154 | Karen Ann Tucker | Dentist | 111 N 175th St Ste 1600, Omaha, NE 68118-0017 | 2011-06-24 |
| 1245543842 | Chase A Pruitt | Dentist | 5040 S 153rd St, Omaha, NE 68137-5067 | 2010-07-23 |
| 1760626857 | Facial Dimensions, P.C. | Dentist | 710 W Koenig St, Grand Island, NE 68801-6556 | 2009-04-21 |
| 1740482090 | L. T. Higgins | Dentist | 7812 Davenport St., Omaha, NE 68114-3629 | 2007-05-31 |
| 1598983033 | Jeffrey Clayton Dabell | Dentist | 985180 Nebraska Medical Ctr, Nebraska Medical Center, Omaha, NE 68198-5180 | 2007-04-22 |
| 1184847949 | Michael Igor Shnayder | Dentist | 17404 Burke St, 102, Omaha, NE 68118-2239 | 2007-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.