Healthcare Provider Details

I. General information

NPI: 1053289769
Provider Name (Legal Business Name): ROHLFING NEBRASKA DENTAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 S 144TH ST STE 180
OMAHA NE
68144-5225
US

IV. Provider business mailing address

9709 LAKESIDE BLVD STE. 350
SPRING TX
77381-1213
US

V. Phone/Fax

Practice location:
  • Phone: 402-513-0318
  • Fax: 402-509-4608
Mailing address:
  • Phone: 713-489-2198
  • Fax: 713-489-2978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: GAIL ROHLFING
Title or Position: OWNER
Credential: DDS
Phone: 336-254-5605