Provider Demographics
NPI:1316671860
Name:STAPLEMAN, AMANDA LOIS (DDS)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:LOIS
Last Name:STAPLEMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:COZAD
Mailing Address - State:NE
Mailing Address - Zip Code:69130-1509
Mailing Address - Country:US
Mailing Address - Phone:308-325-0834
Mailing Address - Fax:
Practice Address - Street 1:1002 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:COZAD
Practice Address - State:NE
Practice Address - Zip Code:69130-1757
Practice Address - Country:US
Practice Address - Phone:308-784-3377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1227751223G0001X
NE8166122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice