Individual
DR. JOHN R SEDLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
424 GRAND AVE, BURWELL, NE 68823
(308) 346-4988
(308) 346-9103
Mailing address
512 LAKESHORE DR, LINCOLN, NE 68528-1434
(402) 488-3257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4341
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080081000
—
NE
Enumeration date
10/18/2006
Last updated
05/29/2013
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