OMAHA ORAL SURGERY, LLC
NPI 1326402470
Dentist - Oral and Maxillofacial Surgery in Omaha, NE

Active since April 05, 2016
5040 SO 153RD ST, OMAHA, NE 68137(507) 316-2205 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Omaha Oral Surgery, Llc NPPES

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

OMAHA ORAL SURGERY, LLC (NPI 1326402470) is a healthcare organization registered as an oral and maxillofacial surgery in Omaha, Nebraska and active in the NPI registry since April 2016. The organization lists Chase A Pruitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1326402470
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameOMAHA ORAL SURGERY, LLC
Location Address5040 SO 153RD STOmaha, NE 68137-5067
Mailing Address5040 So 153rd StOmaha, NE 68137-5067 · (507) 316-2205
Organization SubpartNo
Authorized OfficialChase A PruittOwner · (507) 316-2205
Enumeration DateApril 5, 2016
NPI 1326402470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NE · 28850
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5040 SO 153RD ST, Omaha, NE 68137

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

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326402470, enumerated as an "organization" on April 05, 2016.

The provider is located at 5040 SO 153RD ST OMAHA, NE 68137 and the phone number is (507) 316-2205.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska and. Please consult your insurance carrier or call the provider to verify.