Healthcare Provider Details

I. General information

NPI: 1407950983
Provider Name (Legal Business Name): RICHARD A ROLFSMEIER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 N 7TH STREET
SEWARD NE
68434
US

IV. Provider business mailing address

137 N 7TH STREET
SEWARD NE
68434
US

V. Phone/Fax

Practice location:
  • Phone: 402-643-3909
  • Fax: 402-643-3909
Mailing address:
  • Phone: 402-643-3909
  • Fax: 402-643-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4858
License Number StateNE

VIII. Authorized Official

Name: RICHARD A ROLFSMEIER
Title or Position: OWNER
Credential: DDS
Phone: 402-643-3909