Mark Joseph Panneton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5527 Issued in NE

Practice address

18140 Burke St Ste 100
Elkhorn, NE 68022-4433

Phone

(402) 934-5200

Fax

(402) 537-4346

NPI assigned

Mar 27, 2006

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Panneton DDS PC

  dba Panneton Dental Group

  • General Practice Dentistry
  • Elkhorn, NE
  • NPI 1386031169
  NPD
• Omaha Sleep Solutions

  • Customized Equipment (DME)
  • Elkhorn, NE
  • NPI 1457159642
  NPD
• Kennedy Dental Associates, P.C.

  • General Practice Dentistry
  • Bellevue, NE
  • NPI 1679648521
  NPD (past)
• Mark Frill DDS PC

  • General Practice Dentistry
  • La Vista, NE
  • NPI 1144687864
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1598725129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18140 BURKE ST STE 100",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224433",
            "telephone_number": "402-934-5200",
            "fax_number": "402-537-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18140 BURKE ST STE 100",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224433",
            "telephone_number": "402-934-5200",
            "fax_number": "402-537-4346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9731 Giles Rd",
            "address_purpose": "LOCATION",
            "city": "Lavista",
            "state": "NE",
            "postal_code": "681282930",
            "country_code": "US",
            "telephone_number": "402-537-4620",
            "fax_number": "402-537-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNETON",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zia Packett-Trisdale
• Kelsey M. Pagel, A.P.R.N.
• Kay Pah
• Susmitha Pallagani
• Divyadarshini Pandurangan Himayavarman
• Hyonjoo Miriam Park
• Aaron James Parson
• Jessica Parson
• Tanya Partridge
• Emily Marie Patel, M.D.

• General Practice Dentistry in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.