Provider Demographics
NPI:1922113158
Name:KATHREIN, WILLIAM ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALLEN
Last Name:KATHREIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:KATHREIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:8910 INDIAN HILLS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4128
Mailing Address - Country:US
Mailing Address - Phone:402-397-3400
Mailing Address - Fax:402-397-4225
Practice Address - Street 1:8910 INDIAN HILLS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4128
Practice Address - Country:US
Practice Address - Phone:402-397-3400
Practice Address - Fax:402-397-4225
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4324122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist