Individual provider · Type 1 NPI
Jamie Lynn Revielle, DDS
Pediatric Dentistry · Omaha, NE
NPI number
1700014354
Active
Practice location
4001 N 168th St
Omaha, NE 68116-3203
Fax (414) 266-5677
Mailing address
22603 Sanctuary Ridge Dr
Elkhorn, NE 68022-1300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 6766 (NE) |
| Pediatric Dentistry | 1223P0221X | 7030-15 (WI) |
Pediatric Dentistry: 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.
2 other providers at this address
Other pediatric dentistry providers in Omaha
- Abagayle Thomas Moody, DDSPediatric Dentistry Omaha, NE NPI 1033037981
- Sofia Iribarren, DDSPediatric Dentistry Omaha, NE NPI 1063073898
- Nicholas Jay Levering, DDSPediatric Dentistry Omaha, NE NPI 1104082213
- Arron Joan Cleaver-McWilliams, DDSPediatric Dentistry Omaha, NE NPI 1104996107
- Jeremy QuackenbushPediatric Dentistry Omaha, NE NPI 1154257376
- Joseph A. Barsetti, DDSPediatric Dentistry Omaha, NE NPI 1194777854
- Zachary Lynn Houser, DMDPediatric Dentistry Omaha, NE NPI 1215007984
- Lisa Frost Strunk, DDS MS MSPediatric Dentistry Omaha, NE NPI 1235330150
About NPI 1700014354
Jamie Lynn Revielle, DDS's National Provider Identifier is 1700014354, issued on Jun 22, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Omaha, NE. The record was last updated on Jan 29, 2026.