Skyline Pediatric Dentistry Llc is a Pediatric Dental Clinic in Elkhorn, Nebraska. It is located at 1405 N 205th St, Suite 100, Elkhorn, NE and its contact number is 402-289-1574. The authorized person for Skyline Pediatric Dentistry Llc is Vincent Rothe
who is Owner of the clinic and their contact number is 402-289-1574.
Skyline Pediatric Dentistry Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Skyline Pediatric Dentistry Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Skyline Pediatric Dentistry Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1405 N 205th St, Suite 100, Elkhorn,
Nebraska, 68022-4740 |
| Phone: | 402-289-1574 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Vincent Rothe |
| Position: | Owner |
| Contact Number: | 402-289-1574 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Skyline Pediatric Dentistry Llc clinic are as mentioned below.
| NPI Number: | 1699046847 |
| NPI Enumeration Date: | 19 Jan, 2012 |
| NPI Last Update On: | 19 Jan, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Skyline Pediatric Dentistry Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10025787700 | Medicaid | Nebraska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Skyline Pediatric Dentistry Llc
1405 N 205th St, Suite 100
Elkhorn, Nebraska |
| Zip: | 68022-4740 |
| Phone Number: | -- |
Patients can reach Skyline Pediatric Dentistry Llc at
1405 N 205th St, Suite 100, Elkhorn, Nebraska or can
call to book an appointment on 402-289-1574.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.