Organization
SMILE STATION PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRYAN HOHENSTEIN II DDS (DENTIST/OWNER)
(402) 330-5535
Entity
Organization
Contact information
Practice address
6801 S 180TH ST, OMAHA, NE 68135-3264
(402) 330-5535
Mailing address
6801 S 180TH ST, OMAHA, NE 68135-3264
(402) 330-5535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6331
NE
1223P0221X
Pediatric Dentistry
6930
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255697231
—
NE
Enumeration date
11/06/2013
Last updated
11/06/2013
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