Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Addison Blair Jeppesen, DDS, MS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477201697

Dr. Addison Blair Jeppesen, DDS, MS is a Student in an Organized Health Care Education/Training Program in Papillion, Nebraska. Licensed in Nebraska. Registered with an NPI since 2022.

Licensed in
NE
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

10274 S 71st St
Papillion, NE 68133-2659
Phone: (402) 339-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7822 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477201697
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedMarch 16, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

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