MEDICARE: DR. STEVEN E WEBER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6369	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639216070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN E WEBER D.D.S.

Provider Business Mailing Address
First Line	:	3543 S 85TH ST STE 100
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68520-1501
Country	:	US
Telephone Number	:	402-464-0635
Fax Number	:	402-464-0804

Provider Business Practice Location Address
First Line	:	3543 S 85TH ST STE 100
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68520-1501
Country	:	US
Telephone Number	:	402-464-0635
Fax Number	:	402-464-0804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	09/14/2023

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Directions to “ DR. STEVEN E WEBER D.D.S.” Practice Location

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