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OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC
NPI 1285278028
Dentist - Periodontics in Omaha, NE

Active since November 05, 2019
624 N 129TH ST STE 200, OMAHA, NE 68154(402) 431-8688 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omaha Periodontics And Implant Dentistry Llc NPPES

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

OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC (NPI 1285278028), doing business as Omaha Periodontics, is a healthcare organization registered as a periodontics in Omaha, Nebraska and active in the NPI registry since November 2019. The organization lists Erica E Jasa, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1285278028
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameOMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC
Location Address624 N 129TH ST STE 200Omaha, NE 68154-6110
Mailing Address624 N 129th St Ste 200Omaha, NE 68154-6110 · (402) 431-8688
Phone(402) 431-8688
Organization SubpartNo
Authorized OfficialErica E JasaPeriodontist · (402) 431-8688
Enumeration DateNovember 5, 2019
✔ NPI 1285278028 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 ListedDentistTaxonomy 122300000X
624 N 129TH ST STE 200, Omaha, NE 68154
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Other Names 1

Doing Business AsOmaha Periodontics

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Omaha Periodontics And Implant Dentistry LLC's NPI number?

The NPI number for Omaha Periodontics And Implant Dentistry LLC is 1285278028. It was assigned to this organization in the NPPES registry on November 5, 2019. The provider is doing business as Omaha Periodontics.

Where is Omaha Periodontics And Implant Dentistry LLC located?

Omaha Periodontics And Implant Dentistry LLC is located at 624 N 129th St Ste 200, Omaha, NE 68154. The listed phone number is (402) 431-8688.

What is Omaha Periodontics And Implant Dentistry LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Omaha Periodontics And Implant Dentistry LLC was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.