SANDHILLS ORAL & FACIAL SURGERY LLC (NPI# 1508408584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508408584 |
| Entity Type | Organization |
| Organization Name | SANDHILLS ORAL & FACIAL SURGERY LLC |
| Practice Address |
504 W 42nd Street Kearney NE 68845 |
| Practice Telephone | 4024633088 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | MATTHEW WEBER (PARTNER) |
| Authorized Official Telephone | 3082890290 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
504 W 42ND STREET |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| 1528364684 | Nicole Buettner | Physician Assistant | 412 W. 42nd Street, Kearney, NE 68845 | 2011-02-07 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1467901405 | Bellevue Oral and Maxillofacial Surgery | Clinic/Center | 1004 Lincoln Rd Ste 102, Bellevue, NE 68005-2341 | 2016-10-03 |
| 1700180452 | Village Pointe Oral Surgery P.C. | Clinic/Center | 17404 Burke St, Omaha, NE 68118-2233 | 2011-01-10 |
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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.