Jeppesen, Micah Todd

Jeppesen, Micah Todd is an individual health care provider with primary practice located at 10274 S 71St St , Papillion NE 68133. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jeppesen, Micah Todd can be contacted via phone (402) 339-2501.

Contact Information

Primary practice address
10274 S 71St St Papillion NE 68133
Phone: (402) 339-2501
Fax: (402) 339-2503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6101 Nebraska

Profile Details

NPI number 1023179959
LBN Legal business name Jeppesen, Micah Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Sep 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023179959 NPPES
Nebraska MEDICAID 47083321900

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