Healthcare Provider Details

I. General information

NPI: 1427120971
Provider Name (Legal Business Name): NORFOLK FAMILY DENTAL CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 TAYLOR AVE
NORFOLK NE
68701
US

IV. Provider business mailing address

2104 TAYLOR AVE
NORFOLK NE
68701
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-6566
  • Fax: 402-379-5281
Mailing address:
  • Phone: 402-371-6566
  • Fax: 402-379-5281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number4294
License Number StateNE

VIII. Authorized Official

Name: DR. DONALD GEORGE SMITH JR.
Title or Position: DOCTOR
Credential: DDS
Phone: 402-371-6566