SA DENTAL LLC NPI 1043178593

NPI Information

  • NPI: 1043178593
  • Provider Name: SA DENTAL LLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 14450 EAGLE RUN DR STE 290
    OMAHA, NE
    ZIP 68116
  • Phone: (402) 964-9009

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NPI Details

SA DENTAL LLC is a pediatric dentistry dentist in Omaha, 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. SA DENTAL LLC NPI is 1043178593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14450 EAGLE RUN DR STE 290
OMAHA, NE
ZIP 68116-493
Phone: (402) 964-9009

The provider's authorized official is Amanda Lightfoot .
The authorized official title is Authorized Official and has the following contact phone number (214) 702-0708.

The enumeration date for this NPI number is 1/13/2026 and was last updated on 1/13/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryYes

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: 11/21/2025

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