OrganizationActive
Surf'S Up Pediatric Dentistry
NPI 1104571249 · Pediatric Dentistry · Papillion, NE
Surf'S Up Pediatric Dentistry is a Pediatric Dentistry organization in Papillion, NE (NPI 1104571249).
Provider details
- NPI number
- 1104571249
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bryce Cushing, Owner/Ceo(435) 890-2295
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10350 S. Terrance
Papillion, NE 68133
Phone: (435) 890-2295
Approximate (ZIP-level) locationGet directions
Mailing address
10350 S. Terrance
Papillion, NE 68133
Registry dates
- Enumerated
- 2022-02-17
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Frequently asked questions
- What is Surf'S Up Pediatric Dentistry's NPI number?
- Surf'S Up Pediatric Dentistry's National Provider Identifier (NPI) is 1104571249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surf'S Up Pediatric Dentistry?
- Surf'S Up Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Surf'S Up Pediatric Dentistry located?
- Surf'S Up Pediatric Dentistry's practice location on file with NPPES is 10350 S. Terrance, Papillion, NE 68133.
- What is Surf'S Up Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Surf'S Up Pediatric Dentistry is (435) 890-2295.
- Who is the authorized official for Surf'S Up Pediatric Dentistry?
- The authorized official listed on Surf'S Up Pediatric Dentistry's NPPES record is Bryce Cushing, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surf'S Up Pediatric Dentistry's NPI active?
- Yes — Surf'S Up Pediatric Dentistry's NPI (1104571249) is active in the NPPES registry as of the last update on 2022-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.