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SUMMIT DENTAL HEALTH - BLONDO LLC
NPI 1124418892
Dentist - General Practice in Omaha, NE

Active since February 02, 2015
2005 N 90TH ST, OMAHA, NE 68134(402) 799-1016(402) 513-2745 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Dental Health - Blondo Llc NPPES

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

SUMMIT DENTAL HEALTH - BLONDO LLC (NPI 1124418892) is a healthcare organization registered as a general practice in Omaha, Nebraska and active in the NPI registry since February 2015. The organization lists Corez Logan, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1124418892
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUMMIT DENTAL HEALTH - BLONDO LLC
Location Address2005 N 90TH STOmaha, NE 68134-6002
Mailing AddressPo Box 437169Louisville, KY 40253-7169 · (502) 254-8500
Phone(402) 799-1016
Fax(402) 513-2745
Organization SubpartNo
Authorized OfficialCorez LoganCredentialing Specialist · (502) 254-8500
Enumeration DateFebruary 2, 2015
✔ NPI 1124418892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
2005 N 90TH ST, Omaha, NE 68134
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. AMY TANOUE DDS
Dentist
2005 N 90TH ST
OMAHA, NE 68134
Douglas County (402) 208-8602
JACEK D JASINSKI DDS
Dentist (General Practice)
2005 N 90TH ST
OMAHA, NE 68134
Douglas County (402) 551-9533
DR. SAIDAH MAYO DDS
Dentist
2005 N 90TH ST
OMAHA, NE 68134
Douglas County (402) 551-9533
DR. STEVEN NICHOLAS FIDONE DDS
Dentist (General Practice)
2005 N 90TH ST
OMAHA, NE 68134
Douglas County (402) 551-9533

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 Summit Dental Health - Blondo LLC's NPI number?

The NPI number for Summit Dental Health - Blondo LLC is 1124418892. It was assigned to this organization in the NPPES registry on February 2, 2015.

Where is Summit Dental Health - Blondo LLC located?

Summit Dental Health - Blondo LLC is located at 2005 N 90th St, Omaha, NE 68134. The listed phone number is (402) 799-1016.

What is Summit Dental Health - Blondo LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Summit Dental Health - Blondo LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Summit Dental Health - Blondo LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Dental Health - Blondo LLC was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.