John Patrick Giddings, D.D.S.
Individual provider Active NPI Dentist · Syracuse, NE
NPI 1710012802 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1710012802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4399 (NE)
- Practice address
- 935 1St St
Syracuse, NE 68446-9612 - Phone
- (402) 269-3160
- Fax
- (402) 269-3274
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Teeth LLC | Past |
Accepting new patients | |
| Syracuse Dental Clinic LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4399 | NE | Yes |
Addresses
Primary practice location
935 1St St
Syracuse, NE 68446-9612
Mailing address
935 1St St
Syracuse, NE 68446-9612
Phone (402) 269-3160
Other providers in Syracuse, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. 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.