Organization
CORNERSTONES DDS, LLC
Active
Other names
Cornerstones DDS
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN HERGENRETER JD (EXECUTIVE DIRECTOR)
(515) 408-7506
Entity
Organization
Contact information
Practice address
13025 VERNON AVE, OMAHA, NE 68164-1039
(515) 408-7506
Mailing address
13025 VERNON AVE, OMAHA, NE 68164-1039
(515) 408-7506
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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