Provider Demographics
NPI:1528554466
Name:SLOAN, CHAD SANDERS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:SANDERS
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4629 N 170TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-3140
Mailing Address - Country:US
Mailing Address - Phone:801-362-9334
Mailing Address - Fax:
Practice Address - Street 1:984125 NEBRASKA MEDICAL CENTER DEPT OF SURGERY DIV OMFS
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-0001
Practice Address - Country:US
Practice Address - Phone:402-559-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE34965204E00000X, 208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery