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KOENTJORO DENTISTRY LINCOLN LLC
NPI 1912576471
Dentist - General Practice in Lincoln, NE

Active since June 21, 2021

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jun 21, 2021 (2 updates tracked since 2021).

About Koentjoro Dentistry Lincoln Llc NPPES

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

KOENTJORO DENTISTRY LINCOLN LLC (NPI 1912576471) is a healthcare organization registered as a general practice in Lincoln, Nebraska and active in the NPI registry since June 2021. The organization lists Aldo Koentjoro, Owner, as its authorized official.

NPPES Registry Identity

NPI1912576471
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOENTJORO DENTISTRY LINCOLN LLC
Location Address4960 O STLincoln, NE 68510-1957
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(402) 475-0070
Organization SubpartNo
Authorized OfficialAldo KoentjoroOwner · (402) 475-0070
Enumeration DateJune 21, 2021
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1912576471 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.
4960 O ST, Lincoln, NE 68510
Open in Google Maps ↗

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 MULTIPLE 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 ›

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.

DR. KAITLIN ELIZABETH WASSERMAN DMD
Dentist (General Practice)
4960 O ST
LINCOLN, NE 68510
Lancaster County (402) 475-0070
NEHA CHOPRA DMD
Dentist (General Practice)
4960 O ST
LINCOLN, NE 68510
Lancaster County (402) 475-0070
JUAN CARLOS GONZALEZ GARCIA DDS
Dentist (General Practice)
4960 O ST
LINCOLN, NE 68510
Lancaster County (402) 475-0070

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 Koentjoro Dentistry Lincoln LLC's NPI number?

The NPI number for Koentjoro Dentistry Lincoln LLC is 1912576471. It was assigned to this organization in the NPPES registry on June 21, 2021.

Where is Koentjoro Dentistry Lincoln LLC located?

Koentjoro Dentistry Lincoln LLC is located at 4960 O St, Lincoln, NE 68510. The listed phone number is (402) 475-0070.

What is Koentjoro Dentistry Lincoln LLC's specialty?

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

What insurance does Koentjoro Dentistry Lincoln 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 Koentjoro Dentistry Lincoln 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 Koentjoro Dentistry Lincoln LLC was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.