Desa, Valmont P

Desa, Valmont P is an sole proprietor health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Desa, Valmont P can be contacted via phone (402) 559-5999.

Contact Information

Primary practice address
988102 Nebraska Medical Ctr Omaha NE 68198-8102
Phone: (402) 559-5999
Fax: (402) 559-3499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 22875 Nebraska
Dental Providers / Prosthodontics 1223P0700X 5878 Nebraska

Profile Details

NPI number 1891753067
LBN Legal business name Desa, Valmont P
Credentials MD, DDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Oct 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891753067 NPPES
Nebraska MEDICAID 47078557585

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