Individual provider · Type 1 NPI

Philip Andrew Ehly, DDS

Student in an Organized Health Care Education/Training Program · Gretna, NE

NPI number 1568167294 Active

Practice location

11812 Standing Stone Dr
Gretna, NE 68028-7979

Mailing address

17428 Cinnamon Cir
Omaha, NE 68135-3203

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568167294

Philip Andrew Ehly, DDS's National Provider Identifier is 1568167294, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gretna, NE. The record was last updated on Apr 3, 2023.