OrganizationActive
Koentjoro Dentistry Dodge LLC
NPI 1659013456 · General Practice Dentistry · Omaha, NE
Koentjoro Dentistry Dodge LLC is a General Practice Dentistry organization in Omaha, NE (NPI 1659013456).
Provider details
- NPI number
- 1659013456
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Aldo Koentjoro, Owner(402) 346-6800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
7059 Dodge St Ste 102
Omaha, NE 68132-2703
Phone: (402) 346-6800
Street-level locationGet directions
Mailing address
Po Box 70887
Cleveland, OH 44190-0887
Registry dates
- Enumerated
- 2022-04-12
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Koentjoro Dentistry Dodge LLC's NPI number?
- Koentjoro Dentistry Dodge LLC's National Provider Identifier (NPI) is 1659013456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koentjoro Dentistry Dodge LLC?
- Koentjoro Dentistry Dodge LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Koentjoro Dentistry Dodge LLC located?
- Koentjoro Dentistry Dodge LLC's practice location on file with NPPES is 7059 Dodge St Ste 102, Omaha, NE 68132-2703.
- What is Koentjoro Dentistry Dodge LLC's phone number?
- The practice phone number listed in the NPPES registry for Koentjoro Dentistry Dodge LLC is (402) 346-6800.
- Who is the authorized official for Koentjoro Dentistry Dodge LLC?
- The authorized official listed on Koentjoro Dentistry Dodge 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 Dodge LLC's NPI active?
- Yes — Koentjoro Dentistry Dodge LLC's NPI (1659013456) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.