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

Tiburon Family Dental PC

Organization Dentist · NPI 1932214475

Tiburon Family Dental PC is a Dentist in Omaha, Nebraska. Licensed in Nebraska and Utah. Registered with an NPI since 2006.

Licensed in
NE, UT
In the registry since
2006
Specialties on file
2
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

16919 Audrey St Ste 40
Omaha, NE 68136
Phone: (402) 932-9413
Fax: (402) 505-9704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6576 (NE)
Dentist Taxonomy 122300000X · Licence 3417859922 (UT)

Record details

NPI number1932214475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Johnson — President · (402) 932-9413
NPI enumeratedAugust 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address16919 Audrey St, Suite 40, Omaha, NE 68136

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