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METRO WEST DENTAL SPECIALTY GROUP
NPI 1215647805
Dentist - Periodontics in La Vista, NE

Active since December 05, 2022
12225 W GILES RD, LA VISTA, NE 68128(402) 614-7022(402) 614-7122 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Metro West Dental Specialty Group NPPES

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

METRO WEST DENTAL SPECIALTY GROUP (NPI 1215647805), doing business as Metro West Ortho & Perio, is a healthcare organization registered as a periodontics in La Vista, Nebraska and active in the NPI registry since December 2022. The organization lists Amy Murillo, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1215647805
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMETRO WEST DENTAL SPECIALTY GROUP
Location Address12225 W GILES RDLa Vista, NE 68128-5801
Mailing Address12225 W Giles RdLa Vista, NE 68128-5801 · (402) 614-7022 · Fax (402) 614-7122
Phone(402) 614-7022
Fax(402) 614-7122
Organization SubpartNo
Authorized OfficialAmy MurilloInsurance Coordinator · (402) 999-1016
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1215647805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
12225 W GILES RD, La Vista, NE 68128
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Other Names 1

Doing Business AsMetro West Ortho & Perio

Other Identifiers 3

Other1366625816NE · Npi
Other1376730143NE · Npi
Other1982802096NE · Npi

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

Accepted Insurance

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

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 Metro West Dental Specialty Group's NPI number?

The NPI number for Metro West Dental Specialty Group is 1215647805. It was assigned to this organization in the NPPES registry on December 5, 2022. The provider is doing business as Metro West Ortho & Perio.

Where is Metro West Dental Specialty Group located?

Metro West Dental Specialty Group is located at 12225 W Giles Rd, La Vista, NE 68128. The listed phone number is (402) 614-7022.

What is Metro West Dental Specialty Group's specialty?

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

What insurance does Metro West Dental Specialty Group accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Metro West Dental Specialty Group 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 Metro West Dental Specialty Group was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.