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

Pediatric Dentistry, PC

Organization Dental Clinic/Center · NPI 1154750677

Pediatric Dentistry, PC is a Dental Clinic/Center in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2013.

Licensed in
NE
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3901 Pine Lake Rd Ste 250
Lincoln, NE 68516-5497
Phone: (402) 423-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 6566 (NE)

Record details

NPI number1154750677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Johnson — Pediatric Dentist · (402) 423-3322
NPI enumeratedNovember 5, 2013
Last updated in NPPESDecember 12, 2018
Mailing address3901 Pine Lake Rd Ste 250, Lincoln, NE 68516-5497

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