OrganizationActive
Advanced Oral Surgery, PLLC
NPI 1154970655 · Oral and Maxillofacial Surgery (Dentist) · Council Bluffs, IA
Provider details
- NPI number
- 1154970655
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Brittney Wiemer, Practice Administrator(402) 934-8999
Specialties & taxonomies
Dental Providers
Practice location
3265 S 24th St
Council Bluffs, IA 51501-6901
Phone: (402) 934-8999
Approximate (ZIP-level) locationGet directions
Mailing address
5040 S 153rd St
Omaha, NE 68137-5067
Other names (DBA / former)
- Doing business as
- Council Bluffs Oral Surgery, PLLC
Registry dates
- Enumerated
- 2019-09-06
- Last updated
- 2019-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.