Jesse M Neal, D.D.S.
Individual provider Active NPI General Practice Dentistry · Alma, NE
NPI 1043392343 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043392343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6425 (NE)
- Practice address
- 612 South St
Alma, NE 68920-2175 - Phone
- (308) 928-9010
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6425 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Neal Dental PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6425 | NE | Yes |
Addresses
Primary practice location
612 South St
Alma, NE 68920-2175
Mailing address
612 South St
P O Box 807
Alma, NE 68920-2175
Phone (308) 928-9010
Other providers in Alma, NE
- Travis E Kreutzer
- Connie E. Lans
- Lisa Sindelar-Overleese
- James Spencer Long
- Kelly J McLain
- Northland Hearing Centers, Inc.
- Paige J Pauley
- Renae Joy Pool
- Anton J Smolik
- Jessica D Stemper
All providers in Alma, 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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.