Smile Station Pediatric Dentistry
LBN: Smile Station Pediatric Dentistry
Smile Station Pediatric Dentistry is an health care organization with primary practice located at 6801 S 180Th St , Omaha NE 68135-3264. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is the primary health care specialty.
Smile Station Pediatric Dentistry can be contacted via phone (402) 330-5535, or through Hohenstein, James Bryan via phone (402) 330-5535.
Contact Information
Primary practice address
6801 S 180Th St
Omaha NE 68135-3264
Phone: (402) 330-5535
Fax:
Website:
Authorized official contact:
Name: Hohenstein, James Bryan Doctor of Dental Surgery (DDS)
Phone: (402) 330-5535
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6331 | Nebraska |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6930 | Nebraska |
Profile Details
| NPI number | 1407285844 |
|---|---|
| LBN Legal business name | Smile Station Pediatric Dentistry |
| DBA Doing business as | |
| Authorized official | Hohenstein, James Bryan Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2013 |
| Last updated | Nov 6th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407285844 | NPPES |
| Nebraska | MEDICAID | 1255697231 |
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