Provider Demographics
NPI:1033002290
Name:WODZINSKI, RYTA (DDS)
Entity type:Individual
Prefix:
First Name:RYTA
Middle Name:
Last Name:WODZINSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 S 101ST ST APT 213
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1097
Mailing Address - Country:US
Mailing Address - Phone:605-929-9034
Mailing Address - Fax:
Practice Address - Street 1:10730 PACIFIC ST STE 105
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4700
Practice Address - Country:US
Practice Address - Phone:402-391-1047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8094122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist