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

R. W. Roubal, DDS, PC

Organization Dental Clinic/Center · NPI 1598998940

R. W. Roubal, DDS, PC is a Dental Clinic/Center in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2009.

Licensed in
NE
In the registry since
2009
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

11919 Grant St Ste 140
Omaha, NE 68164-3475
Phone: (402) 493-4175
Fax: (402) 493-9273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 4339 (NE)

Record details

NPI number1598998940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Schmid — Office Manager · (402) 493-4175
Other names Advanced Dentistry
NPI enumeratedSeptember 2, 2009
Last updated in NPPESSeptember 16, 2010
Mailing address11919 Grant St, Suite 140, Omaha, NE 68164-3475

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