Provider Demographics
NPI:1326826967
Name:CADE HUNZEKER, DDS
Entity Type:Organization
Organization Name:CADE HUNZEKER, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANNIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-330-1131
Mailing Address - Street 1:2430 S 179TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2687
Mailing Address - Country:US
Mailing Address - Phone:402-330-1131
Mailing Address - Fax:402-991-6541
Practice Address - Street 1:2430 S 179TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2687
Practice Address - Country:US
Practice Address - Phone:402-330-1131
Practice Address - Fax:402-991-6541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty