LINCOLN PEDIATRIC DENTISTRY (NPI# 1013219633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013219633 |
Entity Type | Organization |
Organization Name | LINCOLN PEDIATRIC DENTISTRY |
Practice Address |
3272 Salt Creek Cir Suite A Lincoln NE 68504-4759 |
Practice Telephone | 4024761500 |
Practice Fax Number | 4024761510 |
Mailing Telephone | 4024761500 |
Mailing Fax Number | 4024761510 |
Enumeration Date | 2010-12-02 |
Last Update Date | 2013-07-02 |
Authorized Official Name | DR. HEIDI J. STARK (OWNER) |
Authorized Official Telephone | 4024761500 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 6838 | NE | Dental Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6901 | NE | Dental Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6881 | NE | Dental Providers |
Y | 122300000X | Dentist | 6310 | NE | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437545829 | Lincoln Pediatric Dentistry | Exclusive Provider Organization | 25 South Mountain Rd., Lincoln, NH 03251 | 2015-04-13 |
1407105299 | Lincoln Pediatric Dentistry | Dentist | 4301 S 80th St, Suite A, Lincoln, NE 68516-4404 | 2012-09-07 |
Street Address |
3272 SALT CREEK CIR SUITE A |
City | LINCOLN |
State | NE |
Zip Code | 68504-4759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336137801 | Heidi J. Stark | Dentist | 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504-4759 | 2005-10-10 |
1588000772 | Jennifer M. Perry, Ph.d., PC | Psychologist | 3272 Salt Creek Cir, Suite B, Lincoln, NE 68504-4759 | 2013-05-15 |
1871892380 | Katherine Jane Garcia | Dentist | 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504-4759 | 2011-03-23 |
1467761668 | Emily J Egley | Dentist | 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504-4759 | 2010-10-05 |
1043449515 | Elizabeth Ann Johnson | Dentist | 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504-4759 | 2009-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942865399 | Jennifer Michelle Rokeby-mayeux | Counselor | 1231 North 38th Street, Lincoln, NE 68504 | 2019-05-01 |
1548703416 | Chelsee Martinez | Counselor | 5001 Cnetral Park Drive, Suite 100, Lincoln, NE 68504 | 2016-11-28 |
1003368705 | Kameelah Fletcher | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4826 Madison Ave #5, Lincoln, NEBRASKA 68504 | 2016-10-28 |
1467909051 | Amanda Rae Edlund | Speech-Language Pathologist | 2851 Fletcher Ave Apt 114, Lincoln, NE 68504 | 2016-09-01 |
1316215841 | Donna E Connely | Psychoanalyst | 5220 Leighton Avenue, Suite B, Lincoln, NE 68504 | 2011-12-12 |
1083865877 | Paul John Rallis | Dentist | 3256 Salt Creek Cir., Lincoln, NE 68504 | 2008-10-10 |
1457531212 | Kathryn Alderman | Dentist | 5800 N 33rd, Lincoln, NE 68504 | 2007-11-09 |
1528145323 | Jennifer Marjorie Perry | Psychologist | 3272 Salt Creek Circle, Suite B, Lincoln, NE 68504 | 2006-11-01 |
1972513430 | Peter Matthew Wawers | Chiropractor | 3830 Adams St, Lincoln, NE 68504 | 2006-08-08 |
1851956205 | Meadowlark Counseling | Counselor | 1231 North 38th Street, Lincoln, NE 68504 | 2019-05-01 |
Find all providers in zip 68504 |
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 |
1336673136 | Preserve Family Dentistry LLC | Dentist | 4303 S 84th St, Lincoln, NE 68516-4403 | 2017-04-18 |
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 |
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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.