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Active NPI 1316051469 Individual Practitioner Male Practitioner

Greg Stuart Samuelson , DDSMSD

Dentist - Orthodontics and Dentofacial Orthopedics • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Greg Samuelson, DDSMSD is a registered healthcare professional specializing in Dentist - Orthodontics and Dentofacial Orthopedics in Omaha, NE. Practice services are available at 13808 W MAPLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13808 W Maple Rd
Suite 112

Omaha, NE 681646231

Telephone 4024932268
Fax 4024458370
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Orthodontics and Dentofacial Orthopedics in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Omaha, NE (84 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Orthodontics and Dentofacial Orthopedics Primary Specialty

NUCC Taxonomy Code: 1223X0400X

State License NE 5341

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Dentist - Orthodontics and Dentofacial Orthopedics

NUCC Taxonomy Code: 1223X0400X

State License IA 7681

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10025140300 (NE)
Medicaid State Provider ID
1225359 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Jay Samuelson , DDS

Dentist - General Practice

NPI 1093839748

Doctor of Dental Surgery

NPI 1255627709

Doctor of Dental Surgery

NPI 1427285378

Doctor of Dental Surgery

Dr. Nicholas Samuelson , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1538685698

Doctor of Dental Surgery

Dr. Brian Pendley , DDS

Dentist - General Practice

NPI 1972627685

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 13808 W MAPLE RD, SUITE 112, OMAHA, NE 681646231 (Tel: 4024932268)

📍
Updated Business Mailing Address July 09, 2007

Registered at 13808 W MAPLE RD, SUITE 112, OMAHA, NE 681646231 (Tel: 4024932268)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GREG SAMUELSON, D.D.S. M.S.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #5341 in NE)

🟢
Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316051469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

13808 W Maple Rd, Suite 112

Omaha, NE 681646231

Phone: 4024932268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.