Wesley D Janssen, DDS
Individual provider Active NPI General Practice Dentistry · Syracuse, NE
NPI 1033213780 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033213780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4745 (NE)
- Practice address
- 557 Mohawk St
Syracuse, NE 68446-0336 - Phone
- (402) 269-2535
- Fax
- (402) 269-2535
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4745 | NE | Yes |
Addresses
Primary practice location
557 Mohawk St
Syracuse, NE 68446-0336
Mailing address
PO Box 336
Syracuse, NE 68446-0336
Phone (402) 269-2535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05377 | Other | NE | BLUE CROSS |
| 47061931400 | Medicaid | NE |
Other providers in Syracuse, NE
- Jennifer Lee Gates
- John Patrick Giddings
- Shannon Grosse
- Emily Candice Iske
- Kaitlin Jacobsen
- Diane Jergensen
- Noah Kasbohm
- Cindy Marie Keckler
- Holly Marie Keene
- Erin Marie Kreifels
All providers in Syracuse, NE · General Practice Dentistry in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.