SUPERIOR FAMILY DENTAL 107TH (NPI# 1174862684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174862684 |
| Entity Type | Organization |
| Organization Name | SUPERIOR FAMILY DENTAL 107TH |
| Other Organization Name | SUPERIOR FAMILY DENTAL |
| Practice Address |
10730 Pacific St Ste105 Omaha NE 68114-4799 |
| Practice Telephone | 4023911047 |
| Practice Fax Number | 4023910309 |
| Mailing Telephone | 4023911047 |
| Mailing Fax Number | 4023910309 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |
| Authorized Official Name | DONALD G SMITH JR. (OWNER) |
| Authorized Official Telephone | 4023911047 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4294 | NE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Superior Family Dental | Doing Business As Name - Organization |
| Street Address |
10730 PACIFIC ST STE105 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326100140 | Clinton A Kindler | Dentist | 10730 Pacific St, #105, Omaha, NE 68114 | 2006-12-15 |
| 1003473513 | Esor Regor Dba | Homemaker | 10730 Pacific St, Omaha, NE 68114-4799 | 2019-05-21 |
| 1932648813 | Angel Arora | Occupational Therapist | 10730 Pacific St, Ste 210, Omaha, NE 68114-4761 | 2017-02-13 |
| 1770036717 | Roseanne Harter | Homeopath | 10730 Pacific St, 209, Omaha, NE 68114-4799 | 2016-07-26 |
| 1003229295 | Community Health and Immunization Services | Community Health Worker | 10730 Pacific St, Suite 221 B, Omaha, NE 68114-4799 | 2014-06-05 |
| 1598194797 | Passport Health Holdings LLC | Clinic/Center | 10730 Pacific St, Ste 221, Omaha, NE 68114-4794 | 2013-11-07 |
| 1073878294 | Joseph T Fitzpatrick Dds PC | Dentist | 10730 Pacific St, Omaha, NE 68114-4799 | 2012-07-13 |
| 1720343940 | Joseph Thomas Fitzpatrick | Dentist | 10730 Pacific St, Suite 105, Omaha, NE 68114-4799 | 2012-07-13 |
| 1780954149 | Sarah Simmons | Occupational Therapist | 10730 Pacific St, Omaha, NE 68114-4799 | 2012-01-03 |
| 1679855027 | Medlink Companion, LLC | Occupational Therapy Assistant | 10730 Pacific St, Ste 210, Omaha, NE 68114-4799 | 2011-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457984817 | Dudzinski Dental PC | Clinic/Center | 3423 S 72nd St, Omaha, NE 68124-3573 | 2020-02-13 |
| 1295251023 | Matthew L. Freyer, D.d.s., P.C. | Clinic/Center | 8424 W Center Rd Ste 100, Omaha, NE 68124-3138 | 2017-08-14 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1477818862 | 7 Day Dental of Omaha, LLC | Clinic/Center | 7337 Farnam St, Omaha, NE 68114-4627 | 2012-07-11 |
| 1831326826 | Omalee Dental LLC | Clinic/Center | 14 Sixth Ave, Omaha, GA 31821 | 2009-06-17 |
| 1043818438 | Miboca 1 LLC | Clinic/Center | 5305 S 96th St, Omaha, NE 68127-3317 | 2020-10-16 |
| 1629690318 | Smith & Hascall Family Dentistry LLC | Clinic/Center | 17725 Welch Plz Ste B, Omaha, NE 68135-1404 | 2020-05-15 |
| 1669036042 | Nia Jones Orthodontics PC | Clinic/Center | 14707 California St Ste 8, Omaha, NE 68154-1900 | 2019-05-01 |
| 1326535261 | Dylan C Gaillard, Dds, LLC | Clinic/Center | 12828 Augusta Ave, Omaha, NE 68144-3733 | 2018-04-17 |
| 1700373602 | Dylan C Gaillard, Dds, LLC | Clinic/Center | 2526 S 140th St, Omaha, NE 68144-2339 | 2018-04-16 |
| Find all providers in OMAHA | ||||
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| 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.