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KOENTJORO DENTISTRY SOUTH POINTE LLC
NPI 1396313011
Dentist - General Practice in Lincoln, NE

Active since June 17, 2021
6835 S 27TH ST STE 2, LINCOLN, NE 68512(531) 220-3940 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2023, Jun 17, 2021 (2 updates tracked since 2021).

About Koentjoro Dentistry South Pointe Llc NPPES

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

KOENTJORO DENTISTRY SOUTH POINTE LLC (NPI 1396313011) is a healthcare organization registered as a general practice in Lincoln, Nebraska and active in the NPI registry since June 2021. The organization lists Aldo Koentjoro, Owner, as its authorized official.

NPPES Registry Identity

NPI1396313011
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOENTJORO DENTISTRY SOUTH POINTE LLC
Location Address6835 S 27TH ST STE 2Lincoln, NE 68512-4824
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(531) 220-3940
Organization SubpartNo
Authorized OfficialAldo KoentjoroOwner · (531) 220-3940
Enumeration DateJune 17, 2021
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1396313011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

6835 S 27TH ST STE 2, Lincoln, NE 68512
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. VY T VU DDS
Dentist (General Practice)
6835 S 27TH ST STE 2
LINCOLN, NE 68512
Lancaster County (531) 220-3940
AYESHA IQBAL
Dentist
6835 S 27TH ST STE 2
LINCOLN, NE 68512
Lancaster County (531) 220-3940

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 South Pointe LLC's NPI number?

The NPI number for Koentjoro Dentistry South Pointe LLC is 1396313011. It was assigned to this organization in the NPPES registry on June 17, 2021.

Where is Koentjoro Dentistry South Pointe LLC located?

Koentjoro Dentistry South Pointe LLC is located at 6835 S 27th St Ste 2, Lincoln, NE 68512. The listed phone number is (531) 220-3940.

What is Koentjoro Dentistry South Pointe 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 South Pointe LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Koentjoro Dentistry South Pointe 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 South Pointe LLC was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.