WILLIAMSBURG DENTAL LLC NPI 1043727092

NPI Information

  • NPI: 1043727092
  • Provider Name: WILLIAMSBURG DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: WILLIAMSBURG DENTAL PIEDMONT
  • Address: 1265 S COTNER BLVD
    LINCOLN, NE
    ZIP 68510
  • Phone: (402) 420-2222

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NPI Details

WILLIAMSBURG DENTAL LLC is a general practice dentist in Lincoln, NE. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WILLIAMSBURG DENTAL LLC NPI is 1043727092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Williamsburg Dental Piedmont.

The provider's business location address is:

1265 S COTNER BLVD
LINCOLN, NE
ZIP 68510-975
Phone: (402) 420-2222

The provider's authorized official is Bonnie L Gall .
The authorized official title is Clinical Coordinator and has the following contact phone number (402) 904-6005.

The enumeration date for this NPI number is 12/29/2017 and was last updated on 12/29/2017.

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
11223G0001XDentistGeneral Practice5965NEBRASKAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151070558700MEDICAIDNEBRASKA

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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