Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - LINCOLN LLC
NPI 1043133309
Dentist - Pediatric Dentistry in Lincoln, NE

Q: What is Pediatric Dental Specialists Of Greater Nebraska - Lincoln LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 03, 2026

3901 PINE LAKE RD STE 250, LINCOLN, NE 68516(402) 423-3322 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Dental Specialists Of Greater Nebraska - Lincoln Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - LINCOLN LLC (NPI 1043133309) is a healthcare organization registered as a pediatric dentistry in Lincoln, Nebraska and active in the NPI registry since August 2026. The organization lists Dave Johnson, Coo, as its authorized official.

NPPES Registry Identity

NPI1043133309

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTAL SPECIALISTS OF GREATER NEBRASKA - LINCOLN LLC

Location Address3901 PINE LAKE RD STE 250Lincoln, NE 68516-5497

Mailing Address3901 Pine Lake Rd Ste 250Lincoln, NE 68516-5497 · (402) 423-3322

Phone(402) 423-3322

Organization SubpartNo

Authorized OfficialDave JohnsonCoo · (402) 462-6557

Enumeration DateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1043133309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

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.

3901 PINE LAKE RD STE 250, Lincoln, NE 68516

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC DENTISTRY, P.C.

Clinic/Center (Dental)

3901 PINE LAKE RD STE 250
LINCOLN, NE 68516

Lancaster County (402) 423-3322

DR. BRENT DAVID JOHNSON D.D.S.

Dentist (Pediatric Dentistry)

3901 PINE LAKE RD STE 250
LINCOLN, NE 68516

Lancaster County (402) 423-3322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dental Specialists Of Greater Nebraska - Lincoln LLC's NPI number?

The NPI number for Pediatric Dental Specialists Of Greater Nebraska - Lincoln LLC is 1043133309. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Pediatric Dental Specialists Of Greater Nebraska - Lincoln LLC located?

Pediatric Dental Specialists Of Greater Nebraska - Lincoln LLC is located at 3901 Pine Lake Rd Ste 250, Lincoln, NE 68516. The listed phone number is (402) 423-3322.

What is Pediatric Dental Specialists Of Greater Nebraska - Lincoln LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Specialists Of Greater Nebraska - Lincoln LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.