IndividualActive
John Andersen, DDS
NPI 1306940770 · Oral and Maxillofacial Surgery (Dentist) · Omaha, NE
Provider details
- NPI number
- 1306940770
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 7220 (IA)
Specialties & taxonomies
Dental Providers
Practice location
13215 Birch St
Suite 100
Omaha, NE 68164-5431
Phone: (402) 390-0770
Approximate (ZIP-level) locationGet directions
Mailing address
201 Ridge St
Council Bluffs, IA 51503-4643
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2007-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.