Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tiburon Family Dental PC

Organization Dentist · NPI 1932214475

Tiburon Family Dental PC provides Dentist services in Omaha, Nebraska. Licensed in Nebraska and Utah. Registered with an NPI since 2006.

Licensed in
NE, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16919 Audrey St Ste 40
Omaha, NE 68136
Phone: (402) 932-9413
Fax: (402) 505-9704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6576 (NE)
Dentist Taxonomy 122300000X · Licence 3417859922 (UT)

Record details

NPI number1932214475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Johnson — President · (402) 932-9413
NPI enumeratedAugust 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address16919 Audrey St, Suite 40, Omaha, NE 68136

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