FRED LEROY HEALTH AND WELLNESS CENTER DENTAL CLINIC
NPI 1194244939
Clinic/Center - Dental in Omaha, NE

Active since September 13, 2017

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 13, 2017 (3 updates tracked since 2017).

About Fred Leroy Health And Wellness Center Dental Clinic NPPES

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

FRED LEROY HEALTH AND WELLNESS CENTER DENTAL CLINIC (NPI 1194244939) is a healthcare organization registered as a dental in Omaha, Nebraska and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Norfolk and lists Larry Voegele, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1194244939
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePONCA TRIBE OF NEBRASKA
Location Address2602 J STOmaha, NE 68107-1643
Mailing Address2602 J StOmaha, NE 68107-1643 · (402) 733-3612
Organization SubpartYes
Authorized OfficialLarry VoegeleChief Executive Officer · (402) 438-9222
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1194244939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2602 J ST, Omaha, NE 68107

Other Names 1

Other NameFred Leroy Health And Wellness Center Dental Clinic

Secondary Practice Location 1

Location 11800 Syracuse AveNorfolk, NE 68701-2458 · Phone (402) 371-8780 · Fax (402) 379-4293

Other Providers at the Same Location NPPES 20

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

Dental Assistant
2602 J ST
OMAHA, NE 68107
Social Worker (Clinical)
2602 J ST
OMAHA, NE 68107
Nurse Practitioner (Family)
2602 J ST
OMAHA, NE 68107
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2602 J ST
OMAHA, NE 68107
Counselor (Mental Health)
2602 J ST
OMAHA, NE 68107
Dental Hygienist
2602 J ST
OMAHA, NE 68107
Dental Hygienist
2602 J ST
OMAHA, NE 68107
Community/Behavioral Health
2602 J ST
OMAHA, NE 68107

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 Ponca Tribe Of Nebraska's NPI number?

The NPI number for Ponca Tribe Of Nebraska is 1194244939. It was assigned to this organization in the NPPES registry on September 13, 2017. The provider is also known as Fred Leroy Health And Wellness Center Dental Clinic.

Where is Ponca Tribe Of Nebraska located?

Ponca Tribe Of Nebraska is located at 2602 J St, Omaha, NE 68107. The listed phone number is (402) 733-3612.

What is Ponca Tribe Of Nebraska's specialty?

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

When was this NPI record last updated?

The NPPES record for Ponca Tribe Of Nebraska was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.