Healthcare Provider Details

I. General information

NPI: 1770999138
Provider Name (Legal Business Name): EMILY WILLETT DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY TSCHETTER DDS, MS

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 S 27TH ST STE 202
LINCOLN NE
68512-4872
US

IV. Provider business mailing address

6825 S 27TH ST STE 202
LINCOLN NE
68512-4872
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-8841
  • Fax:
Mailing address:
  • Phone: 402-489-8841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7151
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number7151
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: