Audrey Aden, DDS
Individual provider Active NPI Dentist · Gothenburg, NE
NPI 1467802116 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1467802116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7314 (NE)
- Practice address
- 513 10TH St
Gothenburg, NE 69138-1925 - Phone
- (308) 537-7195
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7314 | NE | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7314 | NE | Yes |
Addresses
Primary practice location
513 10TH St
Gothenburg, NE 69138-1925
Mailing address
513 10TH St
Gothenburg, NE 69138-1925
Phone (308) 537-7195
Other providers in Gothenburg, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.