# STOIC DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588581300
- **Authorized official:** DR. SHANE GALEN SUDMAN D.D.S. (OWNER)
- **Authorized official phone:** (773) 597-8863

## Contact information

- **Practice address:** 5801 S 58TH ST STE AA, LINCOLN, NE 68516-6405
- **Practice address phone:** (402) 259-0206
- **Practice address fax:** (402) 259-0325
- **Mailing address:** 5801 S 58TH ST STE AA, LINCOLN, NE 68516-6405
- **Mailing address phone:** (402) 259-0206
- **Mailing address fax:** (402) 259-0325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2026
- **Last updated:** 07/02/2026