Matthew Joseph Severin III DDS

NPI 1083603286 - Dentist - 122300000X

NPI Details
NPI 1083603286
Gender Male
Enumeration Date 10/19/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5826 S 147TH ST
OMAHA NE, 68137-2538, US
Phone (402) 895-4555
Fax
Business Location
5826 S 147TH ST
OMAHA NE, 68137-2538, US
Phone (402) 895-4555
Fax
Toxanomy
Taxonomy Code 122300000X
License State Nebraska
License Number 5567
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According to our database, Dr. Matthew Joseph Severin III DDS NPI is 1083603286, taxonomy code is 122300000X and license number is 5567, license state is located at Nebraska. Matthew Joseph Severin III DDS physically located at 5826 S 147th St, Omaha NE, 68137-2538. NPI Number Matthew Joseph Severin III DDS has the Individual type.

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1083603286 NPI number is provided on an as is basis without warranty of any kind. 1083603286 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Joseph Severin III DDS are for informational purposes only.