| Smile Station Pediatric Dentistry, North Llc | |
|
4001 N 168th St Omaha NE 68116 | |
| (402) 330-5535 | |
| (402) 330-5543 |
| Full Name | Smile Station Pediatric Dentistry, North Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4001 N 168th St, Omaha, Nebraska |
| Authorized Official Name and Position | James Bryan Hohenstein (OWNER) |
| Authorized Official Contact | 4023305535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Station Pediatric Dentistry, North Llc 6801 S 180th St Omaha NE 68135-3264 Ph: (402) 330-5535 | Smile Station Pediatric Dentistry, North Llc 4001 N 168th St Omaha NE 68116 Ph: (402) 330-5535 |
| NPI Number | 1972148112 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972148112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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