Individual
DONALD L THEOPHILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1105 S 13TH ST, NORFOLK, NE 68701-5767
(402) 371-1360
(402) 371-1278
Mailing address
PO BOX 1203, NORFOLK, NE 68702-1203
(402) 371-1360
(402) 371-1278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3996
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05839
BCBS
NE
Enumeration date
11/13/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us