Jessen, Peter Christopher

Jessen, Peter Christopher is an individual health care provider with primary practice located at 5404 Ames Avenue , Omaha NE 68104-2884. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / General Practice. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Jessen, Peter Christopher can be contacted via phone (402) 451-3126.

Contact Information

Primary practice address
5404 Ames Avenue Omaha NE 68104-2884
Phone: (402) 451-3126
Fax: (402) 453-6147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4320 Nebraska
Dental Providers / General Practice 1223G0001X 4320 Nebraska

Profile Details

NPI number 1700946464
LBN Legal business name Jessen, Peter Christopher
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1700946464 NPPES
Nebraska MEDICAID 47056311300

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