# PIONEER WOODS DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pioneer Woods Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912079781
- **Authorized official:** EDWARD EUGENE QUINCY DDS (MANAGER)
- **Authorized official phone:** (402) 447-6042

## Contact information

- **Practice address:** 4210 PIONEER WOODS DRIVE, SUITE D, LINCOLN, NE 68506
- **Practice address phone:** (402) 484-6042
- **Practice address fax:** (402) 484-6043
- **Mailing address:** POB 87, 314 N 4TH ST, NEWMAN GROVE, NE 68758-0087
- **Mailing address phone:** (402) 447-6042
- **Mailing address fax:** (402) 447-6009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5876 | NE | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025209600 | — | NE |