CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC (NPI# 1134493083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134493083 |
Entity Type | Organization |
Organization Name | CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC |
Practice Address |
2424 Oak St Omaha NE 68105-3727 |
Practice Telephone | 4029325553 |
Practice Fax Number | 4029325557 |
Mailing Telephone | 4029325553 |
Mailing Fax Number | 4029325557 |
Enumeration Date | 2012-02-23 |
Last Update Date | 2012-02-23 |
Authorized Official Name | DR. VINCENT ROTHE (OWNER) |
Authorized Official Telephone | 4029325553 |
Authorized Official Credential | D.D.S |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Street Address |
2424 OAK ST |
City | OMAHA |
State | NE |
Zip Code | 68105-3727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
Find all providers in zip 68105 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
1598243511 | Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC | Dentist | 2410 S 73rd St Ste 203, Omaha, NE 68124-2395 | 2018-08-01 |
1023481066 | Eric D Hodges Dds PC | Dentist | 2410 So. 73rd St., Omaha, NE 68124-2395 | 2015-11-12 |
1407285844 | Smile Station Pediatric Dentistry | Dentist | 6801 S 180th St, Omaha, NE 68135-3264 | 2013-11-06 |
1285074443 | Amanda M Snyder | Dentist | 2521 S 119th St, Omaha, NE 68144-2976 | 2013-07-02 |
1255697231 | Smile Station | Dentist | 17935 Welch Plz Ste 104, Omaha, NE 68135-3596 | 2012-04-04 |
1598039257 | Lourdes M Secola | Dentist | 14270 W Maple Rd, Omaha, NE 68164-2436 | 2012-02-28 |
1982998860 | Elliott Bailey | Dentist | Munroe Meyer Institute 985450, Nebraska Medical Center, Omaha, NE 68198-5450 | 2011-06-08 |
1750555793 | Jillian Alexandra Wallen | Dentist | 444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, NE 68198-5450 | 2008-04-22 |
1235330150 | Lisa Frost Strunk | Dentist | 2514 S 119th St, Omaha, NE 68144-2869 | 2007-05-29 |
Find all providers in OMAHA |
Please comment or provide details below to improve the information on CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.