DR. JEFF D DWORAK (NPI# 1588799407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588799407 |
| Entity Type | Individual |
| Full Name | DR. JEFF D DWORAK |
| Credential | DDS |
| Practice Address |
2110 Towne Center Dr Bellevue NE 68123-6405 |
| Practice Telephone | 4028858990 |
| Practice Fax Number | 4028858991 |
| Mailing Telephone | 4022965118 |
| Mailing Fax Number | 4028858990 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6313 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUECROSS BLUESHIELD | 05248 | 01 |
| NE | TAX ID# | 202172111 | 01 |
| NE | STATE LICENSE | 6313 | 01 |
| NE | UNITED COCORIDA | 1345421 | 01 |
| NE | 10025239900 | 05 |
| Street Address |
2110 TOWNE CENTER DR |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020717 | Kelsey Sullivan | Dentist | 2110 Towne Center Dr, Bellevue, NE 68123-6405 | 2019-06-03 |
| 1285091678 | Plattsmouth Family Dentistry, P.C. | Dentist | 2110 Towne Center Dr, Bellevue, NE 68123-6405 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864301 | Ruei-hua Wang | Dentist | 1545 116th Ave Ne Ste 100, Bellevue, WA 98004-3813 | 2020-09-08 |
| 1043774599 | Priyanka Sharma,dds,pllc | Dentist | 14655 Ne Bel Red Rd Ste 104, Bellevue, WA 98007-3900 | 2019-01-29 |
| 1750819959 | Xue Du | Dentist | 15613 Bel Red Rd Ste C, Bellevue, WA 98008-2348 | 2017-06-01 |
| 1235582545 | Jensen & Brown, Dds | Dentist | 11 105th Ave Se Ste 11, Bellevue, WA 98004-6281 | 2016-07-21 |
| 1366890139 | Zalak Daftary | Dentist | 12245 Ne 3rd Pl, Bellevue, WA 98005-4821 | 2016-06-02 |
| 1659735199 | F Dahm Dds Pllc | Dentist | 1951 152nd Pl Ne Ste 108, Bellevue, WA 98007-4209 | 2016-04-11 |
| 1174923817 | Hyunji Byun | Dentist | 5723 111th Ave Se, Bellevue, WA 98006-2609 | 2014-08-29 |
| 1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
| 1679904353 | David Aronowitz | Dentist | 3006 Northup Way Ste 102, Bellevue, WA 98004-1445 | 2013-12-06 |
| 1407291537 | Lake Bellevue Dental Care, Inc | Dentist | 1 Lake Bellevue Dr Ste 108, Bellevue, WA 98005-2417 | 2013-05-02 |
| Find all providers in BELLEVUE | ||||
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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.