Provider Demographics
NPI:1184998759
Name:LAMPRECHT DENTISTRY P.C.
Entity type:Organization
Organization Name:LAMPRECHT DENTISTRY P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-721-0488
Mailing Address - Street 1:710 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2657
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:710 E 22ND ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2657
Practice Address - Country:US
Practice Address - Phone:402-721-0488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAMPRECHT DENTISTRY P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-29
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE43401223G0001X
NE67791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025855900Medicaid