OrganizationActive
Chidren'S Dentistry of South Omaha, LLC
NPI 1134493083 · Pediatric Dentistry · Omaha, NE
Provider details
- NPI number
- 1134493083
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Authorized official
- Magdalena Evans, Sr Credentialing Specialist
Practice location
2424 Oak St
Omaha, NE 68105-3727
Phone: (402) 932-5553
Fax: (402) 932-5557
Mailing address
2424 Oak St
Omaha, NE 68105-3727
Registry dates
- Enumerated
- 2012-02-23
- Last updated
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.