Healthcare Provider Details

I. General information

NPI: 1821170440
Provider Name (Legal Business Name): REBECCA HECOX HOHL D.D.S, M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 THOMPSON CREEK BLVD SUITE 1
LINCOLN NE
68516-6579
US

IV. Provider business mailing address

5700 THOMPSON CREEK BLVD SUITE 1
LINCOLN NE
68516-6579
US

V. Phone/Fax

Practice location:
  • Phone: 402-421-8000
  • Fax: 402-421-8003
Mailing address:
  • Phone: 402-421-8000
  • Fax: 402-421-8003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number6317
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number08311
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: