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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 Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JASON B UNTRAUER · (Male)

NPI Number 1164686648
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 07/15/2008
Last updated 03/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 25465
  • NE Other 25465 NE LICENSE
Hospital affiliation(s)
  • BELLEVUE MEDICAL CENTER - (Acute Care)
    2500 BELLEVUE MEDICAL CENTER DR
    BELLEVUE, NE 68123
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
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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