MEDICARE: DR. LUMIR JOHN DRAHOTA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5656	NE
2	122300000X	Dentist	5650	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821086075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUMIR JOHN DRAHOTA DDS

Provider Business Mailing Address
First Line	:	1629 E MILITARY AVE
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-5463
Country	:	US
Telephone Number	:	402-721-7255
Fax Number	:	402-727-1586

Provider Business Practice Location Address
First Line	:	1629 E MILITARY AVE
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-5463
Country	:	US
Telephone Number	:	402-721-7255
Fax Number	:	402-727-1586

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	04/09/2024

Similar Medicare Providers

1568476679 — DR. MATTHEW A BEACOM M.D.
Practice Location Address:

1625 E MILITARY AVE
FREMONT, NE
68025-5463

Practice Phone: 402-721-8830
Practice Fax: 402-721-8840

1407073406 — DR. RICHARD EARL CALLAWAY D.D.S.
Practice Location Address:

1605 E MILITARY AVE
FREMONT, NE
68025-5463

Practice Phone: 402-721-8770
Practice Fax:

1356532873 — FREMONT VISION CORPORATION
Practice Location Address:

1625 E MILITARY AVE
FREMONT, NE
68025-5463

Practice Phone: 402-721-0409
Practice Fax: 402-721-0409

1003119108 — BEACOM FAMILY HEALTH CONNECTION, LLC
Practice Location Address:

1625 E MILITARY AVE
FREMONT, NE
68025-5463

Practice Phone: 402-721-8830
Practice Fax: 402-721-8840

1205389301 — GV DENTAL, LLC
Practice Location Address:

1605 E MILITARY AVE
FREMONT, NE
68025-5463

Practice Phone: 402-721-8770
Practice Fax:

1710721881 — DR. NATHANIEL HEIMANN DDS
Practice Location Address:

1605 E MILITARY AVE
FREMONT, NE
68025-5463

Practice Phone: 402-721-8770
Practice Fax:

Directions to “ DR. LUMIR JOHN DRAHOTA DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.