OrganizationActive
Pedodontics, PC
NPI 1629072954 · Pediatric Dentistry · Omaha, NE
Provider details
- NPI number
- 1629072954
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Carmen Dana, President(402) 330-5913
- License
- 6514 (NE)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Practice location
2514 S 119th St Ste2
Omaha, NE 68144
Phone: (402) 330-5913
Fax: (402) 333-3190
Approximate (ZIP-level) locationGet directions
Mailing address
2514 S 119th St Ste2
Omaha, NE 68144
Registry dates
- Enumerated
- 2005-06-02
- Last updated
- 2008-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.