MISSOURI VALLEY DENTAL GROUP, LLC (NPI# 1407391907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407391907 |
| Entity Type | Organization |
| Organization Name | MISSOURI VALLEY DENTAL GROUP, LLC |
| Practice Address |
4620 S 25th St Omaha NE 68107-1764 |
| Practice Telephone | 4027312100 |
| Mailing Telephone | 4027312100 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | JEFFREY GARVEY (OWNER) |
| Authorized Official Telephone | 7123251544 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSOURI VALLEY DENTAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649650052 | Missouri Valley Dental Group, LLC | Clinic/Center | 216 Enterprise Dr, Suite #3, Gretna, NE 68028-7999 | 2015-06-02 |
| 1437467628 | Missouri Valley Dental Group, LLC | Dentist | 11110 Fort St Ste 106&107, Omaha, NE 68164-2183 | 2010-09-22 |
| 1073704359 | Missouri Valley Dental Group, LLC | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1533 | 2007-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MISSOURI VALLEY DENTAL GROUP, LLC | 214 East Erie Street, Missouri Valley, IA 51579 |
| Street Address |
4620 S 25TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| 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 |
|---|---|---|---|---|
| 1639797194 | Jared Matthew Homan | Dentist | 11840 Nicholas St Ste 210, Omaha, NE 68154-4475 | 2020-07-10 |
| 1114563970 | Corinne Marie Van Osdel | Dentist | 4400 Emile St # 3602, Omaha, NE 68198-0600 | 2019-11-26 |
| 1285278028 | Omaha Periodontics and Implant Dentistry LLC | Dentist | 624 N 129th St Ste 200, Omaha, NE 68154-6110 | 2019-11-05 |
| 1972162493 | Luke Riley Bessmer | Dentist | 8910 Indian Hills Dr Ste 200, Omaha, NE 68114-4127 | 2019-06-08 |
| 1902381247 | Laura Breanna Videtich | Dentist | 5331 S 118th Ct Apt 301, Omaha, NE 68137-3811 | 2018-10-02 |
| 1336620939 | Omar I Faraj | Dentist | 985527 Nebraska Medical Ctr, Omaha, NE 68198-5527 | 2018-08-22 |
| 1225524770 | Mahum Abbas Mirza | Dentist | 13625 California St Ste 300, Omaha, NE 68154-5246 | 2018-07-09 |
| 1346759222 | John Varner | Dentist | 984125 Nebraska Medical Center, Omaha, NE 68198-0001 | 2017-09-23 |
| 1538685698 | Nicholas Samuelson | Dentist | 13808 W Maple Rd Ste 104, Omaha, NE 68164-6231 | 2017-08-20 |
| 1477083046 | Katie Jo Walker | Dentist | 17810 Pierce Plz Ste 100, Omaha, NE 68130-1018 | 2017-06-15 |
| 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.