NPI 1164686648

Jason Bradford Untrauer, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Omaha, NE

Practice location

Address: 4014 Leavenworth St, Omaha, NE 68105-1053
Phone: (402) 559-5999
Fax: (402) 559-3499
Mailing address: 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 25465 (NE)

Other Oral & Maxillofacial Surgery providers in Nebraska →

Dentist

Dental Providers Taxonomy 122300000X Licence 25465 (NE)

Other Dentist providers in Nebraska →

Registry record

NPI: 1164686648
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2008
Record last updated: 29 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.