OrganizationActive
Koentjoro Dentistry Lincoln LLC
NPI 1912576471 · General Practice Dentistry · Lincoln, NE
Koentjoro Dentistry Lincoln LLC is a General Practice Dentistry organization in Lincoln, NE (NPI 1912576471).
Provider details
- NPI number
- 1912576471
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Aldo Koentjoro, Owner(402) 475-0070
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4960 O St
Lincoln, NE 68510-1957
Phone: (402) 475-0070
Street-level locationGet directions
Mailing address
Po Box 70887
Cleveland, OH 44190-0887
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Frequently asked questions
- What is Koentjoro Dentistry Lincoln LLC's NPI number?
- Koentjoro Dentistry Lincoln LLC's National Provider Identifier (NPI) is 1912576471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koentjoro Dentistry Lincoln LLC?
- Koentjoro Dentistry Lincoln LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Koentjoro Dentistry Lincoln LLC located?
- Koentjoro Dentistry Lincoln LLC's practice location on file with NPPES is 4960 O St, Lincoln, NE 68510-1957.
- What is Koentjoro Dentistry Lincoln LLC's phone number?
- The practice phone number listed in the NPPES registry for Koentjoro Dentistry Lincoln LLC is (402) 475-0070.
- Who is the authorized official for Koentjoro Dentistry Lincoln LLC?
- The authorized official listed on Koentjoro Dentistry Lincoln 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 Lincoln LLC's NPI active?
- Yes — Koentjoro Dentistry Lincoln LLC's NPI (1912576471) is active in the NPPES registry as of the last update on 2023-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.