1. Home
  2. Directory
  3. Nebraska
  4. Lincoln
  5. Dentist
  6. NPI Profile

WILLIAMSBURG DENTAL - SOUTH STREET
NPI 1922525450
Dentist - General Practice in Lincoln, NE

Active since August 25, 2017
1265 S COTNER BLVD, LINCOLN, NE 68510(402) 904-6005(402) 904-6005 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Aug 25, 2017 (2 updates tracked since 2017).

About Williamsburg Dental - South Street NPPES

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

WILLIAMSBURG DENTAL - SOUTH STREET (NPI 1922525450) is a healthcare organization registered as a general practice in Lincoln, Nebraska and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Lincoln and lists Bonnie L Gall, Clinical Coordinator, as its authorized official.

NPPES Registry Identity

NPI1922525450
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH LINCOLN DENTAL LLC
Location Address1265 S COTNER BLVDLincoln, NE 68510-4975
Mailing AddressWilliamsburg Dental South Street, 6930 L Street Suite BLincoln, NE 68510 · (402) 904-6005
Phone(402) 904-6005
Fax(402) 904-6005
Organization SubpartYes
Authorized OfficialBonnie L GallClinical Coordinator · (402) 904-6005
Enumeration DateAugust 25, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1922525450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 7178
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.
1265 S COTNER BLVD, Lincoln, NE 68510
Open in Google Maps ↗

Other Names 1

Doing Business AsWilliamsburg Dental - South Street

Secondary Practice Location 1

Location 12746 South StLincoln, NE 68502-3252 · Phone (402) 440-4938 · Fax (402) 939-0035

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

WILLIAMSBURG DENTAL LLC
Dentist (General Practice)
1265 S COTNER BLVD
LINCOLN, NE 68510
Lancaster County (402) 420-2222
FOUR STAR DRUG OF LINCOLN NEBRASKA INC
Pharmacy (Community/Retail Pharmacy)
1265 S COTNER BLVD
LINCOLN, NE 68510
Lancaster County (402) 434-7730
DR. DEBRA KAY HOEFT PHARM.D.
Pharmacist
1265 S COTNER BLVD
LINCOLN, NE 68510
Lancaster County (402) 434-7730
VOLZKE CHIROPRACTIC, P.C.
Clinic/Center
1265 S COTNER BLVD, 26
LINCOLN, NE 68510
Lancaster County (402) 325-0170
DR. CRAIG MICHAEL VOLZKE D.C.
Chiropractor
1265 S COTNER BLVD, SUITE 26
LINCOLN, NE 68510
Lancaster County (402) 325-0170

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 South Lincoln Dental LLC's NPI number?

The NPI number for South Lincoln Dental LLC is 1922525450. It was assigned to this organization in the NPPES registry on August 25, 2017. The provider is doing business as Williamsburg Dental - South Street.

Where is South Lincoln Dental LLC located?

South Lincoln Dental LLC is located at 1265 S Cotner Blvd, Lincoln, NE 68510. The listed phone number is (402) 904-6005.

What is South Lincoln Dental LLC's specialty?

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

What insurance does South Lincoln Dental LLC accept?

Health plans from UnitedHealthcare list South Lincoln Dental 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 South Lincoln Dental LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.