Organization · Type 2 NPI
Koentjoro Dentistry Dodge LLC
General Practice Dentistry · Omaha, NE
NPI number
1659013456
Active
Practice location
7059 Dodge St Ste 102
Omaha, NE 68132-2703
Mailing address
PO Box 70887
Cleveland, OH 44190-0887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: 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.
2 other providers at this address
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- Northwest Dental, LLCGeneral Practice Dentistry Omaha, NE NPI 1073406716
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About NPI 1659013456
Koentjoro Dentistry Dodge LLC's National Provider Identifier is 1659013456, issued on Apr 12, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Omaha, NE. The record was last updated on Jun 15, 2023.