Provider Demographics
NPI:1184732380
Name:ALBRECHT, JOAN E (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:E
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5466
Mailing Address - Country:US
Mailing Address - Phone:308-534-6112
Mailing Address - Fax:308-534-6111
Practice Address - Street 1:421 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5466
Practice Address - Country:US
Practice Address - Phone:308-534-6112
Practice Address - Fax:308-534-6111
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE47281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice