# SMILE STATION PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1407285844
- **Authorized official:** DR. JAMES BRYAN HOHENSTEIN II DDS (DENTIST/OWNER)
- **Authorized official phone:** (402) 330-5535

## Contact information

- **Practice address:** 6801 S 180TH ST, OMAHA, NE 68135-3264
- **Practice address phone:** (402) 330-5535
- **Mailing address:** 6801 S 180TH ST, OMAHA, NE 68135-3264
- **Mailing address phone:** (402) 330-5535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6331 | NE | Yes |
| 1223P0221X | Pediatric Dentistry | 6930 | NE | — |

## Other

- **Enumeration date:** 11/06/2013
- **Last updated:** 11/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1255697231 | — | NE |