Jamie Lynn Revielle is a Omaha, Nebraska based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jamie Lynn Revielle is
6766 for Pediatric Dentistry in Nebraska. Her current practice location is
4001 N 168th St, Omaha. Patients can reach her at
402-330-5535.
Jamie Lynn Revielle 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 Profile:
Jamie Lynn Revielle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jamie Lynn Revielle |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4001 N 168th St, Omaha,
Nebraska, 68116-3203 |
| Phone: | 402-330-5535 |
| Fax: | 414-266-5677 |
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 are as mentioned below.
| NPI Number: | 1700014354 |
| NPI Enumeration Date: | 22 Jun, 2009 |
| NPI Last Update On: | 29 Jan, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jamie Lynn Revielle are as mentioned below.
| License Number | Specialization | State | Status | |
| 6766 | Pediatric Dentistry | Nebraska | Primary | |
| 7030-15 | Pediatric Dentistry | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jamie Lynn Revielle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1700014354 | Medicaid | Wisconsin | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 22603 Sanctuary Ridge Dr,
Elkhorn, Nebraska |
| Zip: | 68022-1300 |
| Phone Number: | 402-770-9119 |
Patients can reach Jamie Lynn Revielle at
4001 N 168th St, Omaha, Nebraska or can
call to book an appointment on 402-330-5535.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.