Patient Registration

Pre-register with our office by filling out our secure online Patient Registration Form.

Pre-registering online provides us all the health and insurance information we need so you have a quick and easy appointment. After you have completed the form, please make sure to press the Complete and Send button at the bottom to submit the form. You will see a confirmation screen that your forms have been sent.

If you have x-rays from your dental dental office, insurance cards or any other pertinent files, you will be prompted to attach them after hitting the submit button.

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. Read our privacy policy.

Omaha – Patient Registration

13215 Birch Drive (132nd & West Maple)
Dr. John Engel, Dr. Steve Coffey

Council Bluffs – Patient Registration

201 Ridge Street (The Doctors Building at Jennie Edmunson)
Dr. Teddy Schaefer, Dr. Jim Barton

Fremont – Patient Registration

1437 East 23rd Street
Dr. Corey Auch

Papillion – Patient Registration

1502 So. Washington Street
Dr. Robert Pfeifle

Omaha

Dr. John Engel, Dr. Steve Coffey
13215 Birch Drive, Suite 100
Omaha, NE 68164
p. Omaha Phone Number 402-397-1205
[email protected]
f. 402-397-4587

Council Bluffs

Dr. Teddy Schaefer, Dr. Jim Barton
201 Ridge Street, Suite 308
Council Bluffs, IA 51503
p. Council Bluffs Phone Number 712-328-8892
[email protected]
f. 712-328-8845

Fremont

Dr. Corey Auch
1437 East 23rd Street
Fremont, NE 68025
p. Fremont Phone Number 402-721-3600
[email protected]
f. 402-721-2472

Papillion

Dr. Robert Pfeifle
1502 So. Washington Street
Papillion, NE 68046
p. Papillion Phone Number 402-964-2727
[email protected]
f. 402-964-2780

Please contact us with any questions.

Important information regarding COVID-19

Our top priority is the safety and well-being of our patients, their families and our team. In the wake of the COVID-19 (Coronavirus) we have some important updates to share with you. The highest level of patient care including Infection Control has always been a top priority and you may have seen this during your visits to our office.  We want to tell you about the infection control procedures we follow in our practice to keep our patients and our team safe.  Our office follows recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA).   Our daily Infection Control Practices include disinfection and sterilization of surfaces and equipment as well as staff wearing personal protective equipment.

We have made some recent additions to our procedures in response to the Coronavirus Pandemic:

  • Our office will communicate with you before your appointment and when you arrive to ask screening questions
  • We have hand sanitizer that we will ask you to use when you enter the office
  • Our office waiting rooms no longer offer magazines or similar items that are difficult to disinfect
  • We are reducing the number of people allowed in the office by limiting patients from bringing extra people with them.
  • Anyone entering the office, including staff, will have their temperature taken
  • Staff members have been provided appropriate personal protective equipment (PPE) to perform their job safely
  • Frequent disinfection of contact surfaces
  • Protective screens at the front desk

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, every patient and our team safe in our practice.