Search › Nebraska › 1223P0221X
Jamie Revielle, DDS
NPI 1700014354 · on the registry since 2009
Practice
- Address
- 4001 N 168th St
Omaha, NE 68116 - Phone
- (402) 330-5535
- Fax
- (414) 266-5677
- Organisation at this address
- Smile Station Pediatric Dentistry, North Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223P0221X
- Licence states on file
- NE, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska