Pediatric Dentistry, P.C.

LBN: Pediatric Dentistry, P.C.
Pediatric Dentistry, P.C. is an health care organization with primary practice located at 3901 Pine Lake Rd Ste 250 , Lincoln NE 68516-5497. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Pediatric Dentistry, P.C. can be contacted via phone (402) 423-3322, or through Johnson, Brent D via phone (402) 423-3322.

Contact Information

Primary practice address
3901 Pine Lake Rd Ste 250 Lincoln NE 68516-5497
Phone: (402) 423-3322
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Brent D Doctor of Dental Surgery (DDS)
Phone: (402) 423-3322

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 6566 Nebraska

Profile Details

NPI number 1154750677
LBN Legal business name Pediatric Dentistry, P.C.
DBA Doing business as
Authorized official Johnson, Brent D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2013
Last updated Dec 12th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154750677 NPPES
Nebraska MEDICAID 10025649100

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