CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC


Address: 2424 Oak St, Omaha, NE 68105-3727
Phone: 4029325553

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Office Location

Street Address 2424 OAK ST
City OMAHA
State NE
Zip Code 68105-3727

Providers in the same zip code

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 Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City OMAHA
Zip Code 68105

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Dataset Information

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.

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