Provider Demographics
NPI:1346466133
Name:COFFEY, STEPHEN ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ARTHUR
Last Name:COFFEY
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:13215 BIRCH DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-5431
Mailing Address - Country:US
Mailing Address - Phone:402-397-1205
Mailing Address - Fax:402-397-4587
Practice Address - Street 1:13215 BIRCH DR
Practice Address - Street 2:SUITE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-5431
Practice Address - Country:US
Practice Address - Phone:402-397-1205
Practice Address - Fax:402-397-4587
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2016-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE65921223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery