PRESERVE FAMILY DENTISTRY LLC (NPI# 1336673136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336673136 |
| Entity Type | Organization |
| Organization Name | PRESERVE FAMILY DENTISTRY LLC |
| Practice Address |
4303 S 84th St Lincoln NE 68516-4403 |
| Practice Telephone | 4024137000 |
| Mailing Telephone | 4024137000 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | BRADLEY ROLAND ALDERMAN (PRESIDENT) |
| Authorized Official Telephone | 4024137000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
4303 S 84TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956199 | Lauren Albin | Dentist | 4303 S 84th St, Lincoln, NE 68516-4403 | 2020-06-16 |
| 1841720406 | Kimberly Polley | Dentist | 4303 S 84th St, Lincoln, NE 68516-4403 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427626 | Ehsan Mostaghni | Dentist | 4000 E Campus Loop S Dept Of, Lincoln, NE 68583-1530 | 2019-06-28 |
| 1730650037 | Kristopher Jacob Keller | Dentist | Unmc College of Dentistry 4000 East Campus Loop South, Lincoln, NE 68583-0740 | 2018-12-12 |
| 1427534106 | Landon Peterson | Dentist | 4000 E. Campus Loop, Lincoln, NE 68583 | 2018-07-16 |
| 1316430655 | Alyssa Nicole Leboeuf | Dentist | 1265 S Cotner Blvd Ste 1, Lincoln, NE 68510-4924 | 2018-06-12 |
| 1306338595 | Distinctive Dental Care | Dentist | 3201 Pioneers Blvd Ste 308, Lincoln, NE 68502-5963 | 2018-06-04 |
| 1528584612 | Mattie Bertels | Dentist | Po Box 830740, Lincoln, NE 68583-0740 | 2017-08-21 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1093168056 | Alyssa Cattle | Dentist | 1649 La Plata Court, Lincoln, NE 68521 | 2016-07-14 |
| 1528419504 | Allison Schubert | Dentist | 3180 S 72nd St, Apt. 274, Lincoln, NE 68506-3738 | 2016-06-30 |
| 1669826293 | Shaun Stinson | Dentist | 6835 S. 27th St., Ste 2, Lincoln, NE 68512 | 2016-04-20 |
| Find all providers in LINCOLN | ||||
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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.