Provider Demographics
NPI:1669157400
Name:ARENS, DILLON LAWRENCE (DDS)
Entity type:Individual
Prefix:
First Name:DILLON
Middle Name:LAWRENCE
Last Name:ARENS
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 1:1344 N 39TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-2101
Mailing Address - Country:US
Mailing Address - Phone:402-750-1335
Mailing Address - Fax:
Practice Address - Street 1:300 N 44TH ST STE 108
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-3415
Practice Address - Country:US
Practice Address - Phone:402-466-1121
Practice Address - Fax:402-466-1180
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7917122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist