FREMONT CHILDREN'S DENTISTRY, LLC (NPI# 1083987911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083987911 |
| Entity Type | Organization |
| Organization Name | FREMONT CHILDREN'S DENTISTRY, LLC |
| Practice Address |
1947 E Military Ave Fremont NE 68025-5467 |
| Practice Telephone | 4027278700 |
| Practice Fax Number | 4027278705 |
| Mailing Telephone | 4027278700 |
| Mailing Fax Number | 4027278705 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. VINCENT ROTHE (OWNER) |
| Authorized Official Telephone | 4027278700 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025787600 | 05 |
| Street Address |
1947 E MILITARY AVE |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1174072565 | Anuhya Uppula | Dentist | 1043 Bonner Ave, Fremont, CA 94536-4005 | 2016-09-26 |
| 1043480916 | Chao Wen Wang | Dentist | 2147 Mowry Ave Ste A4, Fremont, CA 94538-1724 | 2008-03-07 |
| 1811079551 | David E Morris | Dentist | 39560 Stevenson Pl Ste 118, Fremont, CA 94539-3074 | 2006-10-20 |
| 1750988358 | David E. Morris, Dds, Inc. | Dentist | 39560 Stevenson Pl Ste 118, Fremont, CA 94539-3074 | 2020-10-06 |
| 1720335698 | Jonathan Duk Gen Chang | Dentist | 1895 Mowry Ave, Ste 121, Fremont, CA 94538-1737 | 2012-08-10 |
| 1245549195 | Pacific Bay Pediatric Dentistry | Dentist | 39572 Stevenson Pl Ste 123, Fremont, CA 94539-3109 | 2010-09-27 |
| 1932365202 | Jason Law | Dentist | 2111 Parkside Dr, Suite C, Fremont, CA 94536-5221 | 2008-08-05 |
| 1649450560 | Noor Bilbeisi | Dentist | 39572 Stevenson Pl Ste 123, Fremont, CA 94539-3109 | 2007-11-08 |
| 1871624528 | Jason G. Law Dds Apdc | Dentist | 2111 Parkside Dr, Suite C, Fremont, CA 94536-5221 | 2007-03-07 |
| Find all providers in FREMONT | ||||
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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.