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SKYLINE PEDIATRIC DENTISTRY LLC
NPI 1699046847
Dentist - Pediatric Dentistry in Elkhorn, NE

Active since January 19, 2012
1405 N 205TH ST, SUITE 100, ELKHORN, NE 68022(402) 289-1574 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skyline Pediatric Dentistry Llc NPPES

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

SKYLINE PEDIATRIC DENTISTRY LLC (NPI 1699046847) is a healthcare organization registered as a pediatric dentistry in Elkhorn, Nebraska and active in the NPI registry since January 2012. The organization lists Vincent Rothe, Owner, as its authorized official.

NPPES Registry Identity

NPI1699046847
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSKYLINE PEDIATRIC DENTISTRY LLC
Location Address1405 N 205TH ST, SUITE 100Elkhorn, NE 68022-4740
Mailing Address1405 N 205th St, Suite 100Elkhorn, NE 68022-4740
Phone(402) 289-1574
Organization SubpartNo
Authorized OfficialVincent RotheOwner · (402) 289-1574
Enumeration DateJanuary 19, 2012
✔ NPI 1699046847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1405 N 205TH ST, Elkhorn, NE 68022
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Other Identifiers 1

Medicaid10025787700NE

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

Other Providers at the Same Location NPPES 3

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

STODDEN PHYSICAL THERAPY,LLC
Physical Therapist
1405 N 205TH ST, SUITE 140
ELKHORN, NE 68022
Douglas County (402) 289-5013
MRS. HANNAH M WEILAND MPT
Physical Therapist
1405 N 205TH ST, SUITE 140
ELKHORN, NE 68022
Douglas County (402) 289-5013
RACHEL M IDEUS PT
Physical Therapist
1405 N 205TH ST, SU 140
ELKHORN, NE 68022
Douglas County (402) 289-5013

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 Skyline Pediatric Dentistry LLC's NPI number?

The NPI number for Skyline Pediatric Dentistry LLC is 1699046847. It was assigned to this organization in the NPPES registry on January 19, 2012.

Where is Skyline Pediatric Dentistry LLC located?

Skyline Pediatric Dentistry LLC is located at 1405 N 205th St Suite 100, Elkhorn, NE 68022. The listed phone number is (402) 289-1574.

What is Skyline Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Skyline Pediatric Dentistry LLC was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.