ORAL SURGERY CENTER, P.C. (NPI# 1891096814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891096814 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY CENTER, P.C. |
| Practice Address |
2304 Taylor Ave Norfolk NE 68701-4537 |
| Practice Telephone | 4026444452 |
| Practice Fax Number | 4026444454 |
| Mailing Telephone | 4026444452 |
| Mailing Fax Number | 4026444454 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | DR. JON D. STINEMAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4026444452 |
| Authorized Official Credential | D.D.S., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6026 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025867400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598041352 | Oral Surgery Center, P.C. | Dentist | 2071 33rd Ave, Suite B, Columbus, NE 68601-3178 | 2011-10-25 |
| Street Address |
2304 TAYLOR AVE |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893009 | Daniel James Convey | Dentist | 2304 Taylor Ave, Norfolk, NE 68701-4537 | 2005-12-30 |
| 1316904451 | Jon Daniel Stineman | Dentist | 2304 Taylor Ave, Norfolk, NE 68701-4537 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| 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 |
|---|---|---|---|---|
| 1437210374 | Gary Alan Flower | Dentist | 2501 Lakeridge Drive, Suite 100, Norfolk, NE 68701-2558 | 2006-12-13 |
| 1003893009 | Daniel James Convey | Dentist | 2304 Taylor Ave, Norfolk, NE 68701-4537 | 2005-12-30 |
| 1558358960 | Mark Anthony Larusso | Dentist | 1647 Taussig Boulevard, Naval Dental Clinic Norfolk, Norfolk, VA 23511-2896 | 2005-09-30 |
| 1821368747 | James E. Krochmal Dds, P. C. | Dentist | 400 W Brambleton Ave, Suite 310, Norfolk, VA 23510-1115 | 2012-01-09 |
| 1083863633 | Sandra M. Halterman | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2008-09-18 |
| 1053598854 | Oral Surgery Center PC | Dentist | 2501 Lakeridge Dr, Norfolk, NE 68701 | 2008-01-24 |
| 1386837748 | Robert L Smith | Dentist | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2007-08-20 |
| 1346343753 | Gregory S Sears | Dentist | 109 N 29th St, Norfolk, NE 68701-3261 | 2006-09-07 |
| 1114958410 | Michael M Carson Sr. | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2006-07-05 |
| 1639142441 | James Henry Gherardini Jr. | Dentist | 1647 Taussig Blvd, Norfolk, VA 23511 | 2006-02-10 |
| Find all providers in NORFOLK | ||||
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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.