OrganizationActive
Koentjoro Dentistry, DDS, LLC
NPI 1245605153 · General Practice Dentistry · Omaha, NE
Koentjoro Dentistry, DDS, LLC is a General Practice Dentistry organization in Omaha, NE (NPI 1245605153).
Provider details
- NPI number
- 1245605153
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Aldo Koentjoro, Owner(402) 972-4400
- License
- 6963 (NE)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3225 Oak View Dr
Omaha, NE 68144-5627
Phone: (402) 972-4400
Fax: (402) 330-4591
Street-level locationGet directions
Mailing address
Po Box 3189
Syracuse, NY 13220-3189
Registry dates
- Enumerated
- 2015-12-03
- Last updated
- 2015-12-03
Frequently asked questions
- What is Koentjoro Dentistry, DDS, LLC's NPI number?
- Koentjoro Dentistry, DDS, LLC's National Provider Identifier (NPI) is 1245605153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koentjoro Dentistry, DDS, LLC?
- Koentjoro Dentistry, DDS, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Koentjoro Dentistry, DDS, LLC located?
- Koentjoro Dentistry, DDS, LLC's practice location on file with NPPES is 3225 Oak View Dr, Omaha, NE 68144-5627.
- What is Koentjoro Dentistry, DDS, LLC's phone number?
- The practice phone number listed in the NPPES registry for Koentjoro Dentistry, DDS, LLC is (402) 972-4400.
- Who is the authorized official for Koentjoro Dentistry, DDS, LLC?
- The authorized official listed on Koentjoro Dentistry, DDS, LLC's NPPES record is Aldo Koentjoro, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koentjoro Dentistry, DDS, LLC's NPI active?
- Yes — Koentjoro Dentistry, DDS, LLC's NPI (1245605153) is active in the NPPES registry as of the last update on 2015-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.