Provider Demographics
NPI:1528419504
Name:SCHUBERT, ALLISON (DDS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 S 72ND ST
Mailing Address - Street 2:APT. 274
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3180 S 72ND ST
Practice Address - Street 2:APT. 274
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3738
Practice Address - Country:US
Practice Address - Phone:920-960-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7335122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist