Healthcare Provider Details

I. General information

NPI: 1801990262
Provider Name (Legal Business Name): RICHARD M TEMPERO MD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13215 BIRCH DR SUITE 100
OMAHA NE
68164
US

IV. Provider business mailing address

1349 S 101ST ST #304
OMAHA NE
68124
US

V. Phone/Fax

Practice location:
  • Phone: 402-397-1205
  • Fax: 402-390-1074
Mailing address:
  • Phone: 402-397-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number12893
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: