- Practice location
- 805 Pinecrest Dr, Chadron, NE 69337-2845
- Phone
- 860-694-2377
- Fax
- 860-694-2590
- Last updated
- July 13, 2023
Stephen Wade Johndreau is a Dentist based in Chadron, NE. Stephen Wade Johndreau practices in Chadron, NE and has the professional credentials of DDS. The NPI Number for Stephen Wade Johndreau is 1144661125 and holds a License No. 7074 (NE). The current practice location address for Stephen Wade Johndreau is 805 Pinecrest Dr, Chadron, NE 69337-2845 and can be reached out via phone at 860-694-2377 and via fax at 860-694-2590.
Provider Profile Details
- NPI Number
- 1144661125
- Provider Name
- Stephen Wade Johndreau
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 805 Pinecrest Dr, Chadron, NE 69337-2845
- Phone Number
- 860-694-2377
- Fax Number
- 860-694-2590
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 8, 2013
- Last Update Date
- July 13, 2023
- Certification Date
- July 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 805 Pinecrest Dr
Chadron, NE 69337-2845 - City
- Chadron
- State
- Nebraska
- Zip
- 69337-2845
- Phone Number
- 860-694-2377
- Fax Number
- 860-694-2590
Provider Business Mailing Address Details
- Address
- 1 Wahoo Drive
Attn: Mr. Mark Mammoth
Groton, CT 06349-5600 - City
- Groton
- State
- CT
- Zip
- 06349-5600
- Phone Number
- 860-694-2377
- Fax Number
- 860-694-2590
License Information
- License Number
- 7074
- License State
- NE
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Chadron, NE
View all Dentists in Chadron →Frequently Asked Questions
What is the NPI number of Dr. Stephen W Johndreau, DDS?
The NPI number of Dr. Stephen W Johndreau, DDS is 1144661125. It was assigned on July 8, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Stephen W Johndreau, DDS?
Dr. Stephen W Johndreau, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NE under license number 7074.
Where does Dr. Stephen W Johndreau, DDS practice?
The practice location is 805 Pinecrest Dr, Chadron, NE 69337-2845. The office can be reached at 860-694-2377 (phone) or 860-694-2590 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144661125 directly on the NPPES registry website.