BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC (NPI# 1558690545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558690545 |
| Entity Type | Organization |
| Organization Name | BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC |
| Other Organization Name | PREMIER ORAL AND MAXILLOFACIL SURG |
| Practice Address |
546 S Washington St Papillion NE 68046-2632 |
| Practice Telephone | 4029165800 |
| Practice Fax Number | 4029165900 |
| Mailing Telephone | 4029165800 |
| Mailing Fax Number | 4029165900 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | DR. AFOLABI OLUFOLAHAN OGUNLEYE (OWNER) |
| Authorized Official Telephone | 4027086222 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6642 | NE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Oral and Maxillofacil Surg | Doing Business As Name - Organization |
| Street Address |
546 S WASHINGTON ST |
| City | PAPILLION |
| State | NE |
| Zip Code | 68046-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649281700 | Afolabi Olufolahan Ogunleye | Dentist | 546 S Washington St, Papillion, NE 68046-2632 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181525 | Alexis Lexi Morgan Mccoy | Speech-Language Pathologist | 423 S. Washington St, Papillion, NE 68046 | 2020-07-07 |
| 1144860339 | Megan Arlene Drost | Physical Therapist | 10601 S 72nd St. 103, Papillion, NE 68046 | 2020-01-15 |
| 1659930667 | Nil Sine Deo | Home Health | 10791 S 72nd St Ste 104, Papillion, NE 68046 | 2019-06-12 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1144884727 | Dayna Renee Hazlewood | Student in an Organized Health Care Education/Training Program | 120 Olson Drive, Ste 107, Papollion, NE 68046 | 2019-04-29 |
| 1659859734 | Vision Specialists of Papillion LLC | Optometrist | 120 Olson Drive Suite 107, Papillion, NE 68046 | 2018-08-01 |
| 1063999803 | Paige Jean Arlt | Speech-Language Pathologist | 420 S. Washington St., Papillion, NE 68046 | 2018-07-24 |
| 1508380437 | Adrienne Ann Haubold | Speech-Language Pathologist | 500 Valley Road, Papillion, NE 68046 | 2017-08-02 |
| 1316471667 | Dynamic Pain Relief | Pain Medicine | 701 Pinnacle Drive, Suite 105, Papillion, NE 68046 | 2017-04-13 |
| 1124575246 | Amy Allen | Speech-Language Pathologist | 10820 Wittmus Dr, Papillion, NE 68046 | 2016-09-07 |
| Find all providers in zip 68046 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1457984817 | Dudzinski Dental PC | Clinic/Center | 3423 S 72nd St, Omaha, NE 68124-3573 | 2020-02-13 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1831759885 | Jordan Dental /self | Clinic/Center | 130 W Old Highway 2, Merna, NE 68856-5627 | 2019-06-20 |
| 1295251023 | Matthew L. Freyer, D.d.s., P.C. | Clinic/Center | 8424 W Center Rd Ste 100, Omaha, NE 68124-3138 | 2017-08-14 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| 1801267018 | Jessen's Family Dentistry and Dental Hygiene, P.c | Clinic/Center | 104 N.thayer St., Spencer, NE 68777-0287 | 2015-10-14 |
| 1649650052 | Missouri Valley Dental Group, LLC | Clinic/Center | 216 Enterprise Dr, Suite #3, Gretna, NE 68028-7999 | 2015-06-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC.
| 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.