IndividualActive
Jacob Hustad, DMD
NPI 1356895668 · Dentist · Offutt Afb, NE
Provider details
- NPI number
- 1356895668
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 1001304-15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone: (402) 294-5174
Approximate (ZIP-level) locationGet directions
Mailing address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Registry dates
- Enumerated
- 2016-08-04
- Last updated
- 2016-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.