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

Tooth Fairy PC

Organization Pediatric Dentistry · NPI 1316203433

Tooth Fairy PC is a Pediatric Dentistry in Kearney, Nebraska. Licensed in Nebraska. Registered with an NPI since 2012.

Licensed in
NE
In the registry since
2012
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

121 E 31st St
Kearney, NE 68847-3001
Phone: (308) 234-5437
Fax: (308) 234-3169
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 5646 (NE)

Record details

NPI number1316203433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Poorman — Dentist · (308) 234-5437
NPI enumeratedApril 3, 2012
Last updated in NPPESApril 3, 2012
Mailing address121 E 31st St, Kearney, NE 68847-3001

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