Provider Demographics
NPI:1275880833
Name:HOCK, SHARLENE (DDS)
Entity Type:Individual
Prefix:
First Name:SHARLENE
Middle Name:
Last Name:HOCK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 S 56TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1892
Mailing Address - Country:US
Mailing Address - Phone:402-423-2900
Mailing Address - Fax:402-423-2907
Practice Address - Street 1:5310 S 56TH ST STE 3
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1892
Practice Address - Country:US
Practice Address - Phone:402-423-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE70281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice