Individual
LAURA MCFADDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9513 Q ST, OMAHA, NE 68127-5201
(402) 339-6400
(402) 339-6424
Mailing address
9513 Q ST, OMAHA, NE 68127-5201
(402) 339-6400
(402) 339-6424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6075
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610
BCBS PROVIDER ID
NE
05
—
47071268419
—
NE
Enumeration date
12/01/2005
Last updated
07/08/2007
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