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

Metro West Dental Specialty Group

Organization Periodontics · NPI 1215647805

Metro West Dental Specialty Group is a Periodontics in LA Vista, Nebraska. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

12225 W Giles Rd
LA Vista, NE 68128-5801
Phone: (402) 614-7022
Fax: (402) 614-7122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1215647805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Murillo — Insurance Coordinator · (402) 999-1016
Other names Metro West Ortho & Perio
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address12225 W Giles Rd, La Vista, NE 68128-5801

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