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Stephen Leo Coffey, DDS

Dentist in Omaha, NE. Individual provider (NPI-1).

NPI number1154498640
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154498640
Entity type
Individual (NPI-1)
Name
Stephen Leo Coffey
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Nov 29, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist4483NEYes

Practice location

2141 So 63 St
Omaha, NE 68106-2144

Phone 402-551-1811 · Fax 402-551-3267

Mailing address

2141 So 63 St
Omaha, NE 68106-2144

Phone 402-551-1811 · Fax 402-551-3267

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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