Healthcare Provider Details

I. General information

NPI: 1326577636
Provider Name (Legal Business Name): ASHLEY LYNN HAUGER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 09/08/2023
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 CUMING ST
OMAHA NE
68102-4325
US

IV. Provider business mailing address

2109 CUMING ST
OMAHA NE
68102-4325
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-2839
  • Fax:
Mailing address:
  • Phone: 402-280-2839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberD13848
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number7765
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD13848
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: