DAVID J RALLIS DDS MD ORAL AND MAXILLOFACIAL SURGERY, PC (NPI# 1760708218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760708218 |
| Entity Type | Organization |
| Organization Name | DAVID J RALLIS DDS MD ORAL AND MAXILLOFACIAL SURGERY, PC |
| Practice Address |
4110 A Street Lincoln NE 68510 |
| Practice Telephone | 4023279400 |
| Practice Fax Number | 4023279401 |
| Mailing Telephone | 4023279400 |
| Mailing Fax Number | 4023279401 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | DR. DAVID J RALLIS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5073580974 |
| Authorized Official Credential | M.D., D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
25504 | NE | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 6487 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025849700 | 05 |
| Street Address |
4110 A STREET |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808211 | Andrew R Glenn Dds Md PC | Oral & Maxillofacial Surgery | 3401 Plantation Dr Ste 100, Lincoln, NE 68516-4712 | 2020-07-10 |
| 1730222043 | Zysset PC | Oral & Maxillofacial Surgery | 7555 S 57th St, Suite 1, Lincoln, NE 68516-6663 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508967639 | Larry L Baker | Oral & Maxillofacial Surgery | 501 W 9th St, Hastings, NE 68901-3908 | 2006-09-25 |
| 1174704712 | Larry L Baker, Md, Dds, PC | Oral & Maxillofacial Surgery | 501 W 9th St, Hastings, NE 68901-3908 | 2007-11-26 |
| 1972622991 | John P Wewel | Oral & Maxillofacial Surgery | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2007-03-29 |
| 1013975630 | Leon F Davis | Oral & Maxillofacial Surgery | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-03 |
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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.