Healthcare Provider Details

I. General information

NPI: 1689355760
Provider Name (Legal Business Name): HOHMAN FAMILY DENTISTRY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 HILL ST
HOLDREGE NE
68949-1235
US

IV. Provider business mailing address

1223 HILL ST
HOLDREGE NE
68949-1235
US

V. Phone/Fax

Practice location:
  • Phone: 308-995-8639
  • Fax: 308-995-8639
Mailing address:
  • Phone: 308-995-8639
  • Fax: 308-995-8639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: LAURA JEAN HOHMAN
Title or Position: SECRETARY OF CORPORTATION
Credential:
Phone: 309-953-9586