PEDIATRIC DENTISTRY, P.C.
NPI 1154750677
Clinic/Center - Dental in Lincoln, NE

Q: What is Pediatric Dentistry, P.C.'s NPI number?

The NPI number for Pediatric Dentistry, P.C. is 1154750677. It was assigned to this organization in the NPPES registry on November 5, 2013.

Q: What is Pediatric Dentistry, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since November 05, 2013

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

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Dentistry, P.c. NPPES

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

PEDIATRIC DENTISTRY, P.C. (NPI 1154750677) is a healthcare organization registered as a dental in Lincoln, Nebraska and active in the NPI registry since November 2013. The organization lists Brent D Johnson, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1154750677

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePEDIATRIC DENTISTRY, P.C.

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 OfficialBrent D JohnsonPediatric Dentist · (402) 423-3322

Enumeration DateNovember 5, 2013

Last NPPES UpdateDecember 12, 2018

✔ NPI 1154750677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in NE · 6566

3901 PINE LAKE RD STE 250, Lincoln, NE 68516

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Other Identifiers 1

Medicaid10025649100NE

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

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 Dentistry, P.C.'s NPI number?

The NPI number for Pediatric Dentistry, P.C. is 1154750677. It was assigned to this organization in the NPPES registry on November 5, 2013.

Where is Pediatric Dentistry, P.C. located?

Pediatric Dentistry, P.C. is located at 3901 Pine Lake Rd Ste 250, Lincoln, NE 68516. The listed phone number is (402) 423-3322.

What is Pediatric Dentistry, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Pediatric Dentistry, P.C. accept?

Health plans from Blue Cross and Blue Shield of Nebraska and UnitedHealthcare list Pediatric Dentistry, P.C. 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 Pediatric Dentistry, P.C. was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.