Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellie Nicole Petersen-Burkle, DDS

Individual provider Dentist · NPI 1417843426

Ellie Nicole Petersen-Burkle, DDS is a Dentist in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2025.

Licensed in
NE
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

8200 Dodge St
Omaha, NE 68114-4113
Phone: (402) 559-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8098 (NE)

Record details

NPI number1417843426
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

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