MIBOCA 3 LLC
NPI 1861298184
Clinic/Center - Dental in Omaha, NE

Active since February 19, 2025
2002 VINTON ST, OMAHA, NE 68108(531) 777-2546 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miboca 3 Llc NPPES

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

MIBOCA 3 LLC (NPI 1861298184), doing business as South Omaha Dentist, is a healthcare organization registered as a dental in Omaha, Nebraska and active in the NPI registry since February 2025. The organization lists Jessica Herek, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861298184
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMIBOCA 3 LLC
Location Address2002 VINTON STOmaha, NE 68108-1921
Mailing Address2002 Vinton StOmaha, NE 68108-1921
Organization SubpartNo
Authorized OfficialJessica HerekOffice Manager · (402) 331-0701
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
NPI 1861298184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2002 VINTON ST, Omaha, NE 68108

Other Names 1

Doing Business AsSouth Omaha Dentist

Other Providers at the Same Location NPPES 6

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

Dentist
2002 VINTON ST
OMAHA, NE 68108
Dentist
2002 VINTON ST
OMAHA, NE 68108
Clinic/Center (Primary Care)
2002 VINTON ST
OMAHA, NE 68108
Dentist
2002 VINTON ST
OMAHA, NE 68108
Dentist (General Practice)
2002 VINTON ST, VINTON STREET DENTAL
OMAHA, NE 68108
Dentist
2002 VINTON ST
OMAHA, NE 68108

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 Miboca 3 LLC's NPI number?

The NPI number for Miboca 3 LLC is 1861298184. It was assigned to this organization in the NPPES registry on February 19, 2025. The provider is doing business as South Omaha Dentist.

Where is Miboca 3 LLC located?

Miboca 3 LLC is located at 2002 Vinton St, Omaha, NE 68108. The listed phone number is (531) 777-2546.

What is Miboca 3 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Miboca 3 LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.