Individual
DR. ADDISON BLAIR JEPPESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
10274 S 71ST ST, PAPILLION, NE 68133-2659
(402) 339-2501
Mailing address
13126 WEIR ST, OMAHA, NE 68137-1840
(402) 996-0736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7822
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2022
Last updated
06/01/2022
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