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

Pedodontics, PC

Organization Pediatric Dentistry · NPI 1629072954

Pedodontics, PC is a Pediatric Dentistry in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2005.

Licensed in
NE
In the registry since
2005
Specialties on file
4
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

2514 S 119th St STE2
Omaha, NE 68144
Phone: (402) 330-5913
Fax: (402) 333-3190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6047 (NE)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 5175 (NE)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 3441 (NE)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 6514 (NE)

Record details

NPI number1629072954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Dana — President · (402) 330-5913
NPI enumeratedJune 2, 2005
Last updated in NPPESJuly 31, 2008
Mailing address2514 S 119th St Ste2, Omaha, NE 68144

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