# SMALL SMILES OF OMAHA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295822633
- **Authorized official:** MS. JENELL STRINGER (SPECIALIST)
- **Authorized official phone:** (615) 750-0343

## Contact information

- **Practice address:** 311 N 76TH ST, OMAHA, NE 68114-3627
- **Practice address phone:** (402) 393-0594
- **Mailing address:** 201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
- **Mailing address phone:** (719) 562-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 11/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0723387 | — | IA |
| 05 | — | 10025408800 | — | NE |
| 01 | — | 1883523 | UNITED CONCORDIA | NE |