DENTAL SPECIALTIES NPI 1952623902

NPI Information

  • NPI: 1952623902
  • Provider Name: DENTAL SPECIALTIES
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 14133 Q ST
    OMAHA, NE
    ZIP 68137
  • Phone: (402) 895-1900

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NPI Details

DENTAL SPECIALTIES 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. DENTAL SPECIALTIES NPI is 1952623902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14133 Q ST
OMAHA, NE
ZIP 68137
Phone: (402) 895-1900
Fax: (402) 895-5726

The provider's authorized official is George Michael Rakes .
The authorized official title is Owner and has the following contact phone number (402) 895-1900.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 2/18/2010.

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 Practice6712NEBRASKANo
21223P0221XDentistPediatric Dentistry6335NEBRASKANo
31223P0221XDentistPediatric Dentistry4879NEBRASKAYes

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
110025232300MEDICAIDNEBRASKA

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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