Healthcare Provider Details

I. General information

NPI: 1134216070
Provider Name (Legal Business Name): ANNE E WILLIAMSON DDS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE E HURLBERT DDS

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 E CAMPUS LOOP S
LINCOLN NE
68583-1530
US

IV. Provider business mailing address

4000 E CAMPUS LOOP S
LINCOLN NE
68583-1530
US

V. Phone/Fax

Practice location:
  • Phone: 402-472-1492
  • Fax:
Mailing address:
  • Phone: 402-472-1492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number40074
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number5577
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: