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

Omaha Periodontics and Implant Dentistry LLC

Organization Dentist · NPI 1285278028

Omaha Periodontics and Implant Dentistry LLC is a Dentist in Omaha, Nebraska. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

624 N 129th St Ste 200
Omaha, NE 68154-6110
Phone: (402) 431-8688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X
Dentist Taxonomy 122300000X

Record details

NPI number1285278028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Jasa — Periodontist · (402) 431-8688
Other names Omaha Periodontics
NPI enumeratedNovember 5, 2019
Last updated in NPPESNovember 5, 2019
Mailing address624 N 129th St Ste 200, Omaha, NE 68154-6110

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