Koentjoro Dentistry South Pointe LLC
NPI 1396313011ActiveOrganization· Dentist, General Practice· Lincoln, NE
Dentist, General Practice in Lincoln, Nebraska, registered in NPPES in June 2021. The authorized official on file is Aldo Koentjoro, Owner.
Overview
| NPI | 1396313011 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2021 |
| Last updated in NPPES | Jun 20, 2023 |
| Certified by provider | Jun 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Lincoln
- 1538249156
- 1003885021
- 1013923259
- 1093897258
- 1124218052
- 1124504311
- 1134608524
- 1174810345
- 1194416503
- 1215005780
- 1235336249
- 1265058861
All 182 general dentists in Lincoln · All general dentists in Nebraska