Organization
SMILE STATION PEDIATRIC DENTISTRY, NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRYAN HOHENSTEIN DDS (OWNER)
(402) 330-5535
Entity
Organization
Contact information
Practice address
4001 N 168TH ST, OMAHA, NE 68116
(402) 330-5535
(402) 330-5543
Mailing address
6801 S 180TH ST, OMAHA, NE 68135-3264
(402) 330-5535
(402) 330-5543
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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