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

Omaha Oral Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1326402470

Omaha Oral Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2016.

Licensed in
NE
In the registry since
2016
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

5040 So 153rd St
Omaha, NE 68137-5067
Phone: (507) 316-2205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 28850 (NE)

Record details

NPI number1326402470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chase Pruitt — Owner · (507) 316-2205
NPI enumeratedApril 5, 2016
Last updated in NPPESApril 5, 2016
Mailing address5040 So 153rd St, Omaha, NE 68137-5067

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