SA DENTAL LLC
NPI 1043178593
Dentist - Pediatric Dentistry in Omaha, NE

Q: What is Sa Dental LLC's NPI number?

The NPI number for Sa Dental LLC is 1043178593. It was assigned to this organization in the NPPES registry on January 13, 2026.

Q: What is Sa Dental LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sa Dental LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since January 13, 2026

14450 EAGLE RUN DR STE 290, OMAHA, NE 68116(402) 964-9009 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Jan 13, 2026 (2 updates tracked since 2026).

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About Sa Dental Llc NPPES

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

SA DENTAL LLC (NPI 1043178593) is a healthcare organization registered as a pediatric dentistry in Omaha, Nebraska and active in the NPI registry since January 2026. The organization lists Amanda Lightfoot, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043178593

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSA DENTAL LLC

Location Address14450 EAGLE RUN DR STE 290Omaha, NE 68116-1493

Mailing Address15660 Dallas Pkwy Ste 950Dallas, TX 75248-3309

Phone(402) 964-9009

Organization SubpartNo

Authorized OfficialAmanda LightfootAuthorized Official · (214) 702-0708

Enumeration DateJanuary 13, 2026

Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1043178593 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.

14450 EAGLE RUN DR STE 290, Omaha, NE 68116

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Sa Dental LLC's NPI number?

The NPI number for Sa Dental LLC is 1043178593. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Sa Dental LLC located?

Sa Dental LLC is located at 14450 Eagle Run Dr Ste 290, Omaha, NE 68116. The listed phone number is (402) 964-9009.

What is Sa Dental 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 Sa Dental LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.