Provider Demographics
NPI:1992788376
Name:FILBRANDT, CANDI LYNN (DDS)
Entity type:Individual
Prefix:
First Name:CANDI
Middle Name:LYNN
Last Name:FILBRANDT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:CANDI
Other - Middle Name:LYNN
Other - Last Name:HUNZEKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18130 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2881
Mailing Address - Country:US
Mailing Address - Phone:402-884-8880
Mailing Address - Fax:402-884-8872
Practice Address - Street 1:18130 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2881
Practice Address - Country:US
Practice Address - Phone:402-884-8880
Practice Address - Fax:402-884-8872
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE62651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE05728OtherBLUE CROSS BLUE SHIELD
NE01585502OtherUNITED CONCORDIA
NE10025078700Medicaid