NPIMap

Organization Active NPI

Superior Dental Health Blair

  • Dentist
  • Blair, NE
National Provider Identifier
1831500784
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4294 Issued in NE
Legal business name
SUPERIOR DENTAL HEALTH BLAIR
Practice address
1904 South St
Suite 103
Blair, NE 68008-1964
Phone
(402) 426-3334
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Donald G. Smith Jr., DDS
Title
Dentist/Owner
Phone
(402) 730-9235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4294 NE Primary

Addresses

Primary practice location

1904 South St
Suite 103
Blair, NE 68008-1964

Mailing address

4640 Champlain Dr
Suite 105
Lincoln, NE 68521-4714
Phone (402) 730-9235

National Provider Directory

National Provider Directory

Locations

4640 Champlain Dr
Ste 105
Lincoln, NE 68521
Phone (402) 477-5665

Practitioners & affiliated clinicians

Practitioners 2

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": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1831500784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 CHAMPLAIN DR",
            "address_2": "SUITE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214714",
            "telephone_number": "402-730-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 SOUTH ST",
            "address_2": "SUITE 103",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081964",
            "telephone_number": "402-426-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DENTAL HEALTH BLAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "402-730-9235",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.