| Smile Station Pediatric Dentistry | |
|
6801 S 180th St Omaha NE 68135-3264 | |
| (402) 330-5535 | |
| Not Available |
| Full Name | Smile Station Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6801 S 180th St, Omaha, Nebraska |
| Authorized Official Name and Position | James Bryan Hohenstein (DENTIST/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 6801 S 180th St Omaha NE 68135-3264 Ph: (402) 330-5535 | Smile Station Pediatric Dentistry 6801 S 180th St Omaha NE 68135-3264 Ph: (402) 330-5535 |
| NPI Number | 1407285844 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407285844 | NPI | - | NPPES |
| 1255697231 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6331 (Nebraska) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 6930 (Nebraska) | Secondary |
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