Provider Demographics
NPI:1063938892
Name:LOUIS F OLBERDING, DDS, PC
Entity type:Organization
Organization Name:LOUIS F OLBERDING, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:OLBERDING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-488-2325
Mailing Address - Street 1:3901 PINE LAKE RD STE 115
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5427
Mailing Address - Country:US
Mailing Address - Phone:402-488-2325
Mailing Address - Fax:402-488-2763
Practice Address - Street 1:3901 PINE LAKE RD STE 115
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5427
Practice Address - Country:US
Practice Address - Phone:402-488-2325
Practice Address - Fax:402-488-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6207335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier