National Provider Identifier Database

JASON B UNTRAUER, MD, DDS – NPI #1164686648
Oral & Maxillofacial Surgery


Contact Information

JASON B UNTRAUER, MD, DDS
4014 LEAVENWORTH ST
OMAHA, NE68105-1053
Phone: 402-559-5999
Fax: 402-559-3499
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for JASON B UNTRAUER

NPI Number 1164686648
Credentials MD, DDS
Entity Individual
Enumeration date 07/15/2008
Last updated 03/29/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NE License #: 25465
  • NE Other: 25465 NE LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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