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

Jeremy Quackenbush

Individual provider Pediatric Dentistry · NPI 1154257376

Jeremy Quackenbush is a Pediatric Dentistry in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2026

Practice location Address checks out

8200 Dodge St
Omaha, NE 68114-4113
Phone: (402) 552-7775
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 8192 (NE)

Record details

NPI number1154257376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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