Healthcare Provider Details

I. General information

NPI: 1558870220
Provider Name (Legal Business Name): JAMES LOREN SHEETS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 09/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 CALIFORNIA PLZ
OMAHA NE
68178-0133
US

IV. Provider business mailing address

801 LEXINGTON LN
PAPILLION NE
68046-6233
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-5635
  • Fax:
Mailing address:
  • Phone: 402-290-7572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number6146
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: