Individual
ROGER D PLOOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
827 S 48TH ST, LINCOLN, NE 68510-3726
(402) 486-0825
(402) 486-4935
Mailing address
827 S 48TH ST, LINCOLN, NE 68510-3726
(402) 486-0825
(402) 486-4935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4733
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47064792300
—
NE
Enumeration date
11/13/2006
Last updated
07/08/2007
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