Healthcare Provider Details

I. General information

NPI: 1386605558
Provider Name (Legal Business Name): MICHAEL PATRICK SWEENEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 L ST
OMAHA NE
68127-1731
US

IV. Provider business mailing address

7975 L ST
OMAHA NE
68127-1731
US

V. Phone/Fax

Practice location:
  • Phone: 402-592-1773
  • Fax: 402-932-2547
Mailing address:
  • Phone: 402-592-1773
  • Fax: 402-932-2547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number4890
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS-10176
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4890
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: