Provider Demographics
NPI:1558415513
Name:SIGLER, ERNEST W JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:W
Last Name:SIGLER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40TH & HOLDREGE STREET
Mailing Address - Street 2:ROOM 137
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583
Mailing Address - Country:US
Mailing Address - Phone:402-472-8900
Mailing Address - Fax:
Practice Address - Street 1:40TH & HOLDREGE STREET
Practice Address - Street 2:UNIVERSITY DENTAL ASSOCIATES, ROOM 137
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0740
Practice Address - Country:US
Practice Address - Phone:402-472-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE44071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47078998500Medicaid
NE5494OtherBC/BS