Organization Active NPI

Papillion Pediatric Dentistry, PC

  • Dentist
  • Papillion, NE
National Provider Identifier
1336067776
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PAPILLION PEDIATRIC DENTISTRY, PC
Practice address
545 Fortune Dr Ste 400
Papillion, NE 68046-3426
Phone
(402) 502-1256
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jane Laura Bennett, DDSNPI 1467440313
Title
Owner/ Dentist
Phone
(402) 502-1256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

545 Fortune Dr Ste 400
Papillion, NE 68046-3426

Mailing address

545 Fortune Dr Ste 400
Papillion, NE 68046-3426
Phone (402) 502-1256

National Provider Directory

National Provider Directory

Locations

545 Fortune Dr
Ste 400
Papillion, NE 68046
Phone (402) 502-1256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1336067776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 FORTUNE DR STE 400",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463426",
            "telephone_number": "402-502-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 FORTUNE DR STE 400",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463426",
            "telephone_number": "402-502-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPILLION PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "402-502-1256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.