Mark Panneton DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5527 Issued in NE

Legal business name

MARK PANNETON DDS PC

Practice address

9731 Giles Rd
La Vista, NE 68128-2930

Phone

(402) 537-4620

Fax

(402) 537-4346

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Mark J Panneton, DDS

Title

Owner

Phone

(402) 537-4620

Specialties & licenses 1

Addresses

Practitioners 4

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

• Sydney Burianek

  • Dentist
  • La Vista, NE
  • NPI 1811563893
  NPD (past)
• Mark C Frill, D.D.S.

  • General Practice Dentistry
  • La Vista, NE
  • NPI 1225098536
  NPD (past)
• Justin S Gufford, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1376926113
  NPD (past)
• Casey Lynn Sexton, DDS

  • Dentist
  • Lexington, NE
  • NPI 1053675231
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1891069043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282930",
            "telephone_number": "402-537-4620",
            "fax_number": "402-537-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282930",
            "telephone_number": "402-537-4620",
            "fax_number": "402-537-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PANNETON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "PANNETON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-537-4620",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "5527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Mancuso
• Annaleigh Mar
• Jessica Marcuzzo
• Aluel Mareng
• Ayen Samuel Mareng
• Mary Martincik
• Anthony Michael Mateer
• Jason Mather, LMHP
• Jaeden N Matlock-Gaston
• Karissa Matthews, LMHP, PLADC, LPCC

• Dental Clinic/Center in La Vista, NE
• Providers in La Vista, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.