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NPI 1194244939

OrganizationActive

Ponca Tribe of Nebraska

NPI 1194244939 · Dental Clinic/Center · Omaha, NE

Provider details

NPI number: 1194244939
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Ponca Tribe of Nebraska
Organization subpart: Yes
Authorized official: Larry Voegele, Chief Executive Officer(402) 438-9222

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

2602 J St

Omaha, NE 68107-1643

Phone: (402) 733-3612

Approximate (ZIP-level) locationGet directions

More NE providers

Mailing address

2602 J St

Omaha, NE 68107-1643

Other names (DBA / former)

Other name: Fred Leroy Health and Wellness Center Dental Clinic

Additional practice locations (1)

1800 Syracuse Ave
Norfolk, NE 68701-2458
Phone: (402) 371-8780
Fax: (402) 379-4293

Registry dates

Enumerated: 2017-09-13
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ponca Tribe of Nebraska — NPI 1194244939, Omaha, NE | NPI Central