Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588158919 Individual Practitioner Male Practitioner

Dr. Kevin Brodersen , DDS

Dentist • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Brodersen, DDS is a registered healthcare professional specializing in Dentist in Omaha, NE. Practice services are available at 14111 PACIFIC ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14111 Pacific St

Omaha, NE 681542863

Telephone 4028969112
Associated Practice Facility / Clinic
🏢 Apple Family Dental Care Facility NPI 1588962997

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
240 Specialists

Practicing in Omaha, NE (693 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NE 7477

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Joey Machado , DDS

Dentist - General Practice

NPI 1588580567

Doctor of Dental Surgery

NPI 1750953675
Dr. Jose Machado , DDS

Dentist - General Practice

NPI 1780763573

Doctor of Dental Surgery

NPI 1902699358

Doctor of Dental Surgery

Dr. Terrence Strawhecker , DDS

Dentist - General Practice

NPI 1902985609

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2018

Registered at 14111 PACIFIC ST, OMAHA, NE 681542863 (Tel: 4028969112)

📍
Updated Business Mailing Address June 19, 2018

Registered at 415 LEAVENWORTH ST APT 631, OMAHA, NE 681022991 (Tel: 4023143838)

👤
Provider Name / Credentials Updated June 19, 2018

Recorded as KEVIN BRODERSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2018

Dentist (License #7477 in NE)

🟢
Initial NPI Registration & Enumeration June 19, 2018

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: 1588158919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2018
Last Update: June 19, 2018
Sole Proprietor: No

Mailing Address

415 Leavenworth St Apt 631

Omaha, NE 681022991

Phone: 4023143838

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.