WEST MAPLE DENTAL SPECIALISTS NPI 1437252053

NPI Information

  • NPI: 1437252053
  • Provider Name: WEST MAPLE DENTAL SPECIALISTS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 14270 WEST MAPLE RD
    OMAHA, NE
    ZIP 68164
  • Phone: (402) 491-3100

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NPI Details

WEST MAPLE DENTAL SPECIALISTS 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. WEST MAPLE DENTAL SPECIALISTS NPI is 1437252053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14270 WEST MAPLE RD
OMAHA, NE
ZIP 68164
Phone: (402) 491-3100
Fax: (402) 445-4094

The provider's authorized official is Lourdes M Secola .
The authorized official title is President and has the following contact phone number (402) 491-3100.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry5942NEBRASKAYes

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
110025250800MEDICAIDNEBRASKA

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: 3/30/2025

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