Healthcare Provider Details

I. General information

NPI: 1558280164
Provider Name (Legal Business Name): KIMBERLY J POLLEY DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 S 42ND ST STE 310
OMAHA NE
68105-2959
US

IV. Provider business mailing address

2720 N 182ND ST
ELKHORN NE
68022-1599
US

V. Phone/Fax

Practice location:
  • Phone: 402-345-7800
  • Fax: 402-345-7508
Mailing address:
  • Phone: 402-345-7800
  • Fax: 402-345-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY JACQUELINE POLLEY
Title or Position: OWNER/DENTIST
Credential:
Phone: 402-345-7800