Josanna Stephenson, DDS

Individual provider Active NPI General Practice Dentistry · Lincoln, NE

NPI 1629416201 · NPPES record last updated Jun 5, 2013

Key facts

NPI
1629416201
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7077 (NE)
Practice address
7940 S 13TH St
Lincoln, NE 68512-9618
Phone
(402) 423-3333
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7077NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southpointe Dental Past Accepting new patients
Unmc Physicians Past
since Mar 22, 2017
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7077 NE Yes

Addresses

Primary practice location

7940 S 13TH St
Lincoln, NE 68512-9618

Mailing address

7940 S 13TH St
Lincoln, NE 68512-9618
Phone (402) 423-3333

Other names

  • Josanna Henry Former name

Other providers in Lincoln, NE

All providers in Lincoln, NE · General Practice Dentistry in Nebraska

Sources for this page

Verify at the official NPI Registry.