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

Summit Dental Health - Blondo LLC

Organization General Practice Dentistry · NPI 1124418892

Summit Dental Health - Blondo LLC is a General Practice Dentistry in Omaha, Nebraska. Registered with an NPI since 2015.

In the registry since
2015
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

2005 N 90th St
Omaha, NE 68134-6002
Phone: (402) 799-1016
Fax: (402) 513-2745
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1124418892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corez Logan — Credentialing Specialist · (502) 254-8500
NPI enumeratedFebruary 2, 2015
Last updated in NPPESFebruary 2, 2015
Mailing addressPo Box 437169, Louisville, KY 40253-7169

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