LINCOLN PEDIATRIC DENTISTRY


Address: 3272 Salt Creek Cir, Suite A, Lincoln, NE 68504-4759
Phone: 4024761500

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 3272 SALT CREEK CIR
SUITE A
City LINCOLN
State NE
Zip Code 68504-4759

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
Find all providers in LINCOLN

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City LINCOLN
Zip Code 68504

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Dataset Information

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.

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