Healthcare Provider Details

I. General information

NPI: 1386534949
Provider Name (Legal Business Name): MEREDITH BROOKE LLOYD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date: 03/16/2026
Reactivation Date: 05/28/2026

III. Provider practice location address

6930 L ST STE B
LINCOLN NE
68510-2456
US

IV. Provider business mailing address

20211 MANDERSON ST
ELKHORN NE
68022-3234
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-6547
  • Fax:
Mailing address:
  • Phone: 402-505-1910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12883
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number8174
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: