Provider Demographics
NPI:1932968013
Name:LEPKOWSKI, SYDNEY GABRIELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:GABRIELLE
Last Name:LEPKOWSKI
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 1:2471 GLACIER DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3256
Mailing Address - Country:US
Mailing Address - Phone:402-320-3586
Mailing Address - Fax:
Practice Address - Street 1:12150 S 216TH PLZ
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-5023
Practice Address - Country:US
Practice Address - Phone:402-332-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE80161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice