Stephen Wade Johndreau, DDS

Dentist · Chadron, NE

Individual Active NPI

NPI number 1144661125

Practice location

805 Pinecrest Dr
Chadron, NE 69337-2845
Phone
(860) 694-2377
Fax
(860) 694-2590

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NPI record

NPI
1144661125
Entity type
Individual (Type 1)
Enumeration date
July 8, 2013
Last updated
July 13, 2023
Certified
July 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 7074 NE

Mailing address

1 Wahoo Drive
Attn: Mr. Mark Mammoth
Groton, CT 06349-5600
Phone
(860) 694-2377
Fax
(860) 694-2590

About Dr. Johndreau

Stephen Wade Johndreau, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 805 Pinecrest Dr, Chadron, NE 69337-2845. The NPI number 1144661125 was assigned on July 8, 2013 and the record was last updated on July 13, 2023.

Dr. Johndreau lists a license in the registry: #7074 (NE) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Wade Johndreau, DDS?

The NPI number is 1144661125.

What is the phone number of Dr. Johndreau?

The phone number listed for the practice location is (860) 694-2377.

Where is Dr. Johndreau located?

805 Pinecrest Dr, Chadron, NE 69337-2845.

What is the taxonomy code for Dr. Johndreau?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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