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KOENTJORO DENTISTRY, DDS, LLC
NPI 1245605153
Dentist - General Practice in Omaha, NE

Active since December 03, 2015
3225 OAK VIEW DR, OMAHA, NE 68144(402) 972-4400(402) 330-4591 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Koentjoro Dentistry, Dds, Llc NPPES

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

KOENTJORO DENTISTRY, DDS, LLC (NPI 1245605153) is a healthcare organization registered as a general practice in Omaha, Nebraska and active in the NPI registry since December 2015. The organization lists Aldo Koentjoro, Owner, as its authorized official.

NPPES Registry Identity

NPI1245605153
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOENTJORO DENTISTRY, DDS, LLC
Location Address3225 OAK VIEW DROmaha, NE 68144-5627
Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (315) 454-6000 · Fax (866) 803-4943
Phone(402) 972-4400
Fax(402) 330-4591
Organization SubpartNo
Authorized OfficialAldo KoentjoroOwner · (402) 972-4400
Enumeration DateDecember 3, 2015
✔ NPI 1245605153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 6963
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.

3225 OAK VIEW DR, Omaha, NE 68144
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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, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. AREEJ KHAWARI DDS
Dentist
3225 OAK VIEW DR
OMAHA, NE 68144
Douglas County (402) 522-6762
NHU PHUNG LE DDS
Dentist (General Practice)
3225 OAK VIEW DR
OMAHA, NE 68144
Douglas County (402) 915-5501
JOHNATHON O'BRIEN
Dentist (General Practice)
3225 OAK VIEW DR
OMAHA, NE 68144
Douglas County (402) 972-4400
DR. KAITLIN FAITH CRONIN DDS
Dentist (General Practice)
3225 OAK VIEW DR
OMAHA, NE 68144
Douglas County (402) 972-4400
KOENTJORO DENTISTRY OAKVIEW LLC
Dentist (General Practice)
3225 OAK VIEW DR
OMAHA, NE 68144
Douglas County (402) 972-4400
DR. PHILIP BRADLEY NATION DDS
Dentist (General Practice)
3225 OAK VIEW DR
OMAHA, NE 68144
Douglas County (918) 809-5315

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 Koentjoro Dentistry, Dds, LLC's NPI number?

The NPI number for Koentjoro Dentistry, Dds, LLC is 1245605153. It was assigned to this organization in the NPPES registry on December 3, 2015.

Where is Koentjoro Dentistry, Dds, LLC located?

Koentjoro Dentistry, Dds, LLC is located at 3225 Oak View Dr, Omaha, NE 68144. The listed phone number is (402) 972-4400.

What is Koentjoro Dentistry, Dds, LLC's specialty?

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

What insurance does Koentjoro Dentistry, Dds, LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and UnitedHealthcare list Koentjoro Dentistry, Dds, 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 Koentjoro Dentistry, Dds, LLC was last updated on December 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.