Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619770237 Individual Practitioner Male Practitioner

Dr. Gabriel Philip Crocker , DDS

Dentist - General Practice • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Gabriel Crocker, DDS is a registered healthcare professional specializing in Dentist - General Practice in Omaha, NE. Practice services are available at 7059 DODGE ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7059 Dodge St Ste 102

Omaha, NE 681322703

Telephone 4022003220
Associated Practice Facility / Clinic
🏢 Koentjoro Dentistry Dodge Llc Facility NPI 1659013456

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
282 Specialists

Practicing in Omaha, NE (832 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 8097

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500860970 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Andrew Bruch , DDS

Dentist - General Practice

NPI 1962132696

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 06, 2026

Registered at 7059 DODGE ST STE 102, OMAHA, NE 681322703 (Tel: 4022003220)

📍
Updated Business Mailing Address July 06, 2026

Registered at 7059 DODGE ST STE 102, OMAHA, NE 681322703 (Tel: 4022003220)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Dentist (License #8097 in NE)

NPI Profile Active March 29, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2025

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393098 (Tel: 5034948211)

📍
Updated Business Mailing Address March 29, 2025

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393098 (Tel: 5034948211)

👤
Provider Name / Credentials Updated March 29, 2025

Recorded as GABRIEL CROCKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619770237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2025
Last Update: July 06, 2026
Sole Proprietor: No

Mailing Address

7059 Dodge St Ste 102

Omaha, NE 681322703

Phone: 4022003220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.