Individual
TODD L PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1005 A ST, SCHUYLER, NE 68661-1927
(402) 352-5566
(402) 352-5566
Mailing address
P O BOX 228, SCHUYLER, NE 68661-1927
(402) 352-5566
(402) 352-5316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5633
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025193700
—
NE
Enumeration date
12/15/2010
Last updated
07/21/2014
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