Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koentjoro Dentistry Dodge LLC

Organization General Practice Dentistry · NPI 1659013456

Koentjoro Dentistry Dodge LLC is a General Practice Dentistry in Omaha, Nebraska. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7059 Dodge St Ste 102
Omaha, NE 68132-2703
Phone: (402) 346-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1659013456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aldo Koentjoro — Owner · (402) 346-6800
NPI enumeratedApril 12, 2022
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing addressPo Box 70887, Cleveland, OH 44190-0887

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