Johnathon O'Brien

NPI 1487175634 · on the registry since 2017

Practice

Address: 3225 Oak View Dr
Omaha, NE 68144
Phone: (402) 972-4400
Organisation at this address: Koentjoro Dentistry, Dds, Llc
Koentjoro Dentistry Oakview Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 1223G0001X
1223G0001X
Licence states on file: IA, WI, NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska