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WALNUT CREEK PEDIATRIC DENTISTRY NPI 1598908279


NPI Information

NPI: 1598908279
Provider Name: WALNUT CREEK PEDIATRIC DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10983 CUMBERLAND DR
PAPILLION, NE
ZIP 68046
Phone: (402) 590-2018
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WALNUT CREEK PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Papillion, NE. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WALNUT CREEK PEDIATRIC DENTISTRY NPI is 1598908279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10983 CUMBERLAND DR
PAPILLION, NE
ZIP 68046-894
Phone: (402) 590-2018
Fax: (402) 590-2019

The provider's authorized official is Barry Webber .
The authorized official title is President, Owner and has the following contact phone number (402) 590-2018.

The enumeration date for this NPI number is 4/11/2009 and was last updated on 2/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry6743NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025725600MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.