Provider Demographics
NPI:1932461878
Name:KAPPENMAN, WILLIAM VAUGHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:VAUGHN
Last Name:KAPPENMAN
Suffix:
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 1:3610 S 49TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-4504
Mailing Address - Country:US
Mailing Address - Phone:402-212-7800
Mailing Address - Fax:
Practice Address - Street 1:5011 L ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-1306
Practice Address - Country:US
Practice Address - Phone:402-731-5423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7019122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist