Provider Demographics
NPI:1134216070
Name:WILLIAMSON, ANNE E (DDS MS)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:E
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:HURLBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4000 E CAMPUS LOOP S
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-1530
Mailing Address - Country:US
Mailing Address - Phone:402-472-1492
Mailing Address - Fax:
Practice Address - Street 1:4000 E CAMPUS LOOP S
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-1530
Practice Address - Country:US
Practice Address - Phone:402-472-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA400741223E0200X
NE55771223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1508788Medicaid