Wilderness Station Pediatric Dentistry
NPI 1568682052 · Dental Clinic/Center · Lincoln, NE
Wilderness Station Pediatric Dentistry is a Dental Clinic/Center organization in Lincoln, NE (NPI 1568682052).
Provider details
- NPI number
- 1568682052
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Martin Killeen, Doctor(402) 420-8020
- License
- 6492 (NE)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2014-12-23
Frequently asked questions
- What is Wilderness Station Pediatric Dentistry's NPI number?
- Wilderness Station Pediatric Dentistry's National Provider Identifier (NPI) is 1568682052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilderness Station Pediatric Dentistry?
- Wilderness Station Pediatric Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wilderness Station Pediatric Dentistry located?
- Wilderness Station Pediatric Dentistry's practice location on file with NPPES is 8020 S 13th St, Lincoln, NE 68512-9371.
- What is Wilderness Station Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Wilderness Station Pediatric Dentistry is (402) 420-8020.
- Who is the authorized official for Wilderness Station Pediatric Dentistry?
- The authorized official listed on Wilderness Station Pediatric Dentistry's NPPES record is Martin Killeen, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilderness Station Pediatric Dentistry's NPI active?
- Yes — Wilderness Station Pediatric Dentistry's NPI (1568682052) is active in the NPPES registry as of the last update on 2014-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.