PIONEER PERIODONTICS & IMPLANT DENTISTRY PC
NPI 1164876637
Dentist - Periodontics in Lincoln, NE

Active since April 20, 2016
1640 S 70TH ST, STE #200, LINCOLN, NE 68506(402) 483-7631(402) 483-1237 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pioneer Periodontics & Implant Dentistry Pc NPPES

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

PIONEER PERIODONTICS & IMPLANT DENTISTRY PC (NPI 1164876637) is a healthcare organization registered as a periodontics in Lincoln, Nebraska and active in the NPI registry since April 2016. The organization lists John E Rutldege, Periodontist/owner, as its authorized official.

NPPES Registry Identity

NPI1164876637
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePIONEER PERIODONTICS & IMPLANT DENTISTRY PC
Location Address1640 S 70TH ST, STE #200Lincoln, NE 68506-1571
Mailing Address1640 S 70th St, Ste #200Lincoln, NE 68506-1571 · (402) 483-7631 · Fax (402) 483-1237
Fax(402) 483-1237
Organization SubpartNo
Authorized OfficialJohn E RutldegePeriodontist/owner · (402) 483-7631
Enumeration DateApril 20, 2016
NPI 1164876637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1640 S 70TH ST, Lincoln, NE 68506

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

Other Providers at the Same Location NPPES 5

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

Dentist (Periodontics)
1640 S 70TH ST, STE#200
LINCOLN, NE 68506
Dentist (Periodontics)
1640 S 70TH ST, SUITE #200
LINCOLN, NE 68506
Dentist (Periodontics)
1640 S 70TH ST, SUITE 200
LINCOLN, NE 68506
Dentist (Periodontics)
1640 S 70TH ST, SUITE 200
LINCOLN, NE 68506
Counselor (Mental Health)
1640 S 70TH ST
LINCOLN, NE 68506

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 Pioneer Periodontics & Implant Dentistry PC's NPI number?

The NPI number for Pioneer Periodontics & Implant Dentistry PC is 1164876637. It was assigned to this organization in the NPPES registry on April 20, 2016.

Where is Pioneer Periodontics & Implant Dentistry PC located?

Pioneer Periodontics & Implant Dentistry PC is located at 1640 S 70th St Ste #200, Lincoln, NE 68506. The listed phone number is (402) 483-7631.

What is Pioneer Periodontics & Implant Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Pioneer Periodontics & Implant Dentistry PC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Pioneer Periodontics & Implant Dentistry PC 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 Pioneer Periodontics & Implant Dentistry PC was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.