Healthcare Provider Details

I. General information

NPI: 1487445748
Provider Name (Legal Business Name): GENE ROBERT HUEBNER DDS, MSD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6021 GRAND LODGE AVE APT 314B
PAPILLION NE
68133-3235
US

IV. Provider business mailing address

6021 GRAND LODGE AVE APT 314B
PAPILLION NE
68133-3235
US

V. Phone/Fax

Practice location:
  • Phone: 308-440-5259
  • Fax:
Mailing address:
  • Phone: 308-440-5259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number7727
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: