Provider Demographics
NPI:1083774749
Name:WEE, ALVIN GERARD (DDS, MS, MPH)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:GERARD
Last Name:WEE
Suffix:
Gender:M
Credentials:DDS, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17018 CINNAMON CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-3106
Mailing Address - Country:US
Mailing Address - Phone:402-502-7038
Mailing Address - Fax:402-502-7038
Practice Address - Street 1:981225 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:43210-1225
Practice Address - Country:US
Practice Address - Phone:402-559-9200
Practice Address - Fax:402-559-8288
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH71-00-0142122300000X, 1223P0700X
NE113122300000X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223P0700XDental ProvidersDentistProsthodontics