WILDERNESS STATION PEDIATRIC DENTISTRY
NPI 1568682052
Clinic/Center - Dental in Lincoln, NE

Q: What is Wilderness Station Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since April 26, 2007

8020 S 13TH ST, LINCOLN, NE 68512(402) 420-8020(402) 420-0367 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Wilderness Station Pediatric Dentistry NPPES

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

WILDERNESS STATION PEDIATRIC DENTISTRY (NPI 1568682052) is a healthcare organization registered as a dental in Lincoln, Nebraska and active in the NPI registry since April 2007. The organization lists Martin D. Killeen, Doctor, as its authorized official.

NPPES Registry Identity

NPI1568682052

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameWILDERNESS STATION PEDIATRIC DENTISTRY

Location Address8020 S 13TH STLincoln, NE 68512-9371

Mailing Address8020 S 13th StLincoln, NE 68512-9371 · (402) 420-8020 · Fax (402) 420-0367

Phone(402) 420-8020

Fax(402) 420-0367

Organization SubpartNo

Authorized OfficialMartin D. KilleenDoctor · (402) 420-8020

Enumeration DateApril 26, 2007

Last NPPES UpdateDecember 23, 2014

✔ NPI 1568682052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in NE · 6492

8020 S 13TH ST, Lincoln, NE 68512

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Other Identifiers 1

Medicaid10025264500NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.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. GREGORY FOUGHT D.D.S.

Dentist (Pediatric Dentistry)

8020 S 13TH ST
LINCOLN, NE 68512

Lancaster County (402) 421-8020

DR. MARTIN D KILLEEN DDS

Dentist (Pediatric Dentistry)

8020 S 13TH ST
LINCOLN, NE 68512

Lancaster County (402) 421-8020

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 Wilderness Station Pediatric Dentistry's NPI number?

The NPI number for Wilderness Station Pediatric Dentistry is 1568682052. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Wilderness Station Pediatric Dentistry located?

Wilderness Station Pediatric Dentistry is located at 8020 S 13th St, Lincoln, NE 68512. The listed phone number is (402) 420-8020.

What is Wilderness Station Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Wilderness Station Pediatric Dentistry accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Wilderness Station Pediatric Dentistry 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 Wilderness Station Pediatric Dentistry was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.