Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koentjoro Dentistry South Pointe LLC

Organization General Practice Dentistry · NPI 1396313011

Koentjoro Dentistry South Pointe LLC provides General Practice Dentistry in Lincoln, Nebraska. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6835 S 27th St Ste 2
Lincoln, NE 68512-4824
Phone: (531) 220-3940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1396313011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aldo Koentjoro — Owner · (531) 220-3940
NPI enumeratedJune 17, 2021
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing addressPo Box 70887, Cleveland, OH 44190-0887

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