PEDIATRIC DENTISTRY
NPI 1629158365
Dentist in Omaha, NE

Active since October 17, 2006
8200 DODGE ST, 2ND FLOOR SPC CHILDREN'S HOSPITAL, OMAHA, NE 68114(402) 559-6100(402) 552-7765 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pediatric Dentistry NPPES

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

PEDIATRIC DENTISTRY (NPI 1629158365) is a healthcare organization registered as a dentist in Omaha, Nebraska and active in the NPI registry since October 2006. The organization lists Randal L Haack, Assistant Dean Of Operations, as its authorized official.

NPPES Registry Identity

NPI1629158365
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameUNMC COLLEGE OF DENTISTRY
Location Address8200 DODGE ST, 2ND FLOOR SPC CHILDREN'S HOSPITALOmaha, NE 68114-4113
Mailing Address40th And Holdrege, Room 2106bLincoln, NE 68583-0740 · (402) 472-3492 · Fax (402) 472-5290
Fax(402) 552-7765
Organization SubpartNo
Authorized OfficialRandal L HaackAssistant Dean Of Operations · (402) 472-3492
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 19, 2013
NPI 1629158365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

8200 DODGE ST, Omaha, NE 68114

Other Names 1

Other NamePediatric Dentistry

Other Identifiers 2

Medicaid10025084700NE
Medicaid2956599IA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Pediatrics
8200 DODGE ST, CHILDREN'S HOSPITAL - HOSPITALISTS
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Physician Assistant
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Neonatal-Perinatal Medicine)
8200 DODGE ST
OMAHA, NE 68114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629158365, enumerated as an "organization" on October 17, 2006.

The provider is located at 8200 DODGE ST 2ND FLOOR SPC CHILDREN'S HOSPITAL OMAHA, NE 68114 and the phone number is (402) 559-6100.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.