Provider Demographics
NPI:1376740084
Name:WEES, JULIE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:MARIE
Last Name:WEES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11414 W CENTER ROAD
Mailing Address - Street 2:SUITE 334
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4484
Mailing Address - Country:US
Mailing Address - Phone:402-330-3200
Mailing Address - Fax:402-330-1545
Practice Address - Street 1:11414 W CENTER ROAD
Practice Address - Street 2:SUITE 334
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4484
Practice Address - Country:US
Practice Address - Phone:402-330-3200
Practice Address - Fax:402-330-1545
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6715122300000X
IA30388390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No122300000XDental ProvidersDentist