OrganizationActive
Pediatric Dentistry, P.C.
NPI 1154750677 · Dental Clinic/Center · Lincoln, NE
Provider details
- NPI number
- 1154750677
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brent Johnson, Pediatric Dentist
- License
- 6566 (NE)
Practice location
3901 Pine Lake Rd Ste 250
Lincoln, NE 68516-5497
Phone: (402) 423-3322
Mailing address
3901 Pine Lake Rd Ste 250
Lincoln, NE 68516-5497
Registry dates
- Enumerated
- 2013-11-05
- Last updated
- 2018-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.