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SOUTH 73 DENTAL LLC
NPI 1518549419
Dentist - General Practice in Omaha, NE

Active since April 21, 2021
2420 S 73RD ST STE 300, OMAHA, NE 68124(402) 391-1919 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South 73 Dental Llc NPPES

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

SOUTH 73 DENTAL LLC (NPI 1518549419), doing business as Premier Dental, is a healthcare organization registered as a general practice in Omaha, Nebraska and active in the NPI registry since April 2021. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1518549419
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH 73 DENTAL LLC
Location Address2420 S 73RD ST STE 300Omaha, NE 68124-2396
Mailing Address2420 S 73rd St Ste 300Omaha, NE 68124-2396 · (402) 391-1919
Phone(402) 391-1919
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (972) 869-3789
Enumeration DateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1518549419 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.
2420 S 73RD ST STE 300, Omaha, NE 68124
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Other Names 1

Doing Business AsPremier Dental

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 Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 South 73 Dental LLC's NPI number?

The NPI number for South 73 Dental LLC is 1518549419. It was assigned to this organization in the NPPES registry on April 21, 2021. The provider is doing business as Premier Dental.

Where is South 73 Dental LLC located?

South 73 Dental LLC is located at 2420 S 73rd St Ste 300, Omaha, NE 68124. The listed phone number is (402) 391-1919.

What is South 73 Dental LLC's specialty?

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

What insurance does South 73 Dental 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 South 73 Dental 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 South 73 Dental LLC was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.