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

Northwest Dental, LLC

Organization General Practice Dentistry · NPI 1073406716

Northwest Dental, LLC is a General Practice Dentistry in Omaha, Nebraska. Registered with an NPI since 2025.

In the registry since
2025
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

5200 N 91st Ave
Omaha, NE 68134-2749
Phone: (402) 572-7677
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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 number1073406716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Rising — Member · (701) 799-6453
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 1, 2025
Mailing address27330 W Center Rd, Waterloo, NE 68069-6814

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