Organization · Type 2 NPI

Center Street Dental, P.c.

General Practice Dentistry · Omaha, NE

NPI number 1912212804 Active

Practice location

11902 West Center Road, Suite 103
Omaha, NE 68144-4326

Fax (402) 333-5346

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

Other general practice dentistry providers in Omaha

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NPI record

NPI: 1912212804
Entity type: Organization (Type 2)
Issued: Aug 16, 2010
Last updated: Mar 17, 2025
Status: Active

Other names

<unavail>
Montclair Dental Associates, PC · former legal business name
Montclair Dental, P.c. · former legal business name

Authorized official

David Scott Olson, DDS
President
(402) 333-5337

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912212804

Center Street Dental, P.c.'s National Provider Identifier is 1912212804, issued on Aug 16, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Omaha, NE. The record was last updated on Mar 17, 2025.