# JOHNDREAU DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376222786
- **Authorized official:** DR. STEPHEN JOHNDREAU DDS (DENTIST/OWNER/MANAGER)
- **Authorized official phone:** (402) 309-3033

## Contact information

- **Practice address:** 805 PINECREST DR, CHADRON, NE 69337-2845
- **Practice address phone:** (308) 432-5626
- **Mailing address:** PO BOX 71, CHADRON, NE 69337-0071
- **Mailing address phone:** (308) 432-5626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2023
- **Last updated:** 07/13/2023