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General NPI Number Information
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NPI Number | 1265382212
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Entity Type | Organization
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Legal Business Name | MATTHEW J SEVERIN DDS
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 5826 S 147TH ST
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City | OMAHA
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State | NE
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Zip | 68137-2538
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Country | US
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Telephone | 402-895-4555
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Fax | 402-894-0666
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Provider Business Mailing Address
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Address Line | 5826 S 147TH ST
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City | OMAHA
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State | NE
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Zip | 68137-2538
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Country | US
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Telephone | 402-895-4555
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Fax | 402-894-0666
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW JOSEPH SEVERIN III
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Credential | DDS
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Telephone | 402-895-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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