NPIMap

Organization Active NPI

Center Street Dental, P.C.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1912212804
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CENTER STREET DENTAL, P.C.
Practice address
11902 West Center Road
Suite 103
Omaha, NE 68144-4326
Phone
(402) 333-5337
Fax
(402) 333-5346
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
David Scott Olson, DDSNPI 1851688147
Title
President
Phone
(402) 333-5337

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11902 West Center Road
Suite 103
Omaha, NE 68144-4326

Mailing address

11902 West Center Road
Suite 103
Omaha, NE 68144-4326
Phone (402) 333-5337

Other names 2

  • Montclair Dental Associates, PC Former legal business name
  • Montclair Dental, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

13057 W Center Rd
Ste 15
Omaha, NE 68144
Phone (402) 333-5337

11902 W Center Rd
Ste 103
Omaha, NE 68144
Phone (402) 333-5337

Practitioners & affiliated clinicians

Practitioners 3

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": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1912212804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11902 WEST CENTER ROAD",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444326",
            "telephone_number": "402-333-5337",
            "fax_number": "402-333-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11902 WEST CENTER ROAD",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444326",
            "telephone_number": "402-333-5337",
            "fax_number": "402-333-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-333-5337",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montclair Dental Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Montclair Dental, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.