ROOTS DENTAL LLC; NPI #1609573013

Contact Information

ROOTS DENTAL LLC

8450 EIGER DR. SUITE 1
LINCOLN, NE 68526

Phone: 402-413-6686
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for ROOTS DENTAL LLC

NPI Number	`1609573013`
LBN Legal business name	ROOTS DENTAL LLC
Authorized official	AMY WENNINGHOFF - (DENTIST/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/15/2023
Last updated	02/15/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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