Provider Demographics
NPI:1275523516
Name:SVEEN, MELISSA JILL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JILL
Last Name:SVEEN
Suffix:
Gender:F
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:7001 A STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4205
Mailing Address - Country:US
Mailing Address - Phone:402-434-3367
Mailing Address - Fax:402-434-3368
Practice Address - Street 1:7001 A STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4205
Practice Address - Country:US
Practice Address - Phone:402-434-3367
Practice Address - Fax:402-434-3368
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2011-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE52411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470695645-00Medicaid