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Contact Information

VALMONT P DESA, MD, DDS
988102 NEBRASKA MEDICAL CTR
OMAHA, NE68198-8102
 Phone: 402-559-5999
 Fax: 402-559-3499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VALMONT P DESA · (Male)

NPI Number 1891753067
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 05/03/2006
Last updated 10/05/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 22875
  • NE License # 5878
  • NE Medicaid 47078557585
Hospital affiliation(s)
  • 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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