SMILE STATION PEDIATRIC DENTISTRY, NORTH LLC (NPI# 1972148112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972148112 |
| Entity Type | Organization |
| Organization Name | SMILE STATION PEDIATRIC DENTISTRY, NORTH LLC |
| Practice Address |
4001 N 168th St Omaha NE 68116 |
| Mailing Address |
6801 S 180th St Omaha NE 68135-3264 |
| Practice Telephone | 4023305535 |
| Practice Fax Number | 4023305543 |
| Mailing Telephone | 4023305535 |
| Mailing Fax Number | 4023305543 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | DR. JAMES BRYAN HOHENSTEIN (OWNER) |
| Authorized Official Telephone | 4023305535 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
4001 N 168TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311997 | Paul Hoppmann | Physical Therapist | 3537 N 162nd Ct, Omaha, NE 68116 | 2020-09-16 |
| 1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
| 1619450061 | Focus Therapy A West Omaha Counseling Practice | Counselor | 3520 N 163rd Plaza Suite 6, Omaha, NE 68116 | 2018-09-12 |
| 1952831570 | Adam Freeman | Chiropractor | 3605 North 147th Street, Suite 106, Omaha, NE 68116 | 2017-06-15 |
| 1407394042 | Chiropractic Group of Nebraska LLC | Chiropractor | 3727 N 153rd St, Omaha, NE 68116 | 2017-02-02 |
| 1992177083 | Emily Gunderson | Speech-Language Pathologist | 14850 Laurel Ave, Omaha, NE 68116 | 2015-10-28 |
| 1720478647 | Chelsea Hunter | Social Worker | 16101 Evans Street, Omaha, NE 68116 | 2015-01-30 |
| 1982988432 | Andrew Steve Huang-pacheco | Pediatrics | 3306 N 164th St, Omaha, NE 68116 | 2011-10-03 |
| 1073831996 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2814 S 169 St, Omaha, NE 68116 | 2010-05-17 |
| 1780823542 | Eun Jin Yi | Registered Nurse | 15353 Locust St, Omaha, NE 68116 | 2009-02-18 |
| Find all providers in zip 68116 | ||||
| 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 |
|---|---|---|---|---|
| 1598243511 | Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC | Dentist | 2410 S 73rd St Ste 203, Omaha, NE 68124-2395 | 2018-08-01 |
| 1023481066 | Eric D Hodges Dds PC | Dentist | 2410 So. 73rd St., Omaha, NE 68124-2395 | 2015-11-12 |
| 1407285844 | Smile Station Pediatric Dentistry | Dentist | 6801 S 180th St, Omaha, NE 68135-3264 | 2013-11-06 |
| 1285074443 | Amanda M Snyder | Dentist | 2521 S 119th St, Omaha, NE 68144-2976 | 2013-07-02 |
| 1255697231 | Smile Station | Dentist | 17935 Welch Plz Ste 104, Omaha, NE 68135-3596 | 2012-04-04 |
| 1598039257 | Lourdes M Secola | Dentist | 14270 W Maple Rd, Omaha, NE 68164-2436 | 2012-02-28 |
| 1134493083 | Chidren's Dentistry of South Omaha, LLC | Dentist | 2424 Oak St, Omaha, NE 68105-3727 | 2012-02-23 |
| 1982998860 | Elliott Bailey | Dentist | Munroe Meyer Institute 985450, Nebraska Medical Center, Omaha, NE 68198-5450 | 2011-06-08 |
| 1750555793 | Jillian Alexandra Wallen | Dentist | 444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, NE 68198-5450 | 2008-04-22 |
| 1235330150 | Lisa Frost Strunk | Dentist | 2514 S 119th St, Omaha, NE 68144-2869 | 2007-05-29 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on SMILE STATION PEDIATRIC DENTISTRY, NORTH LLC.
| 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.