Lofgreen, David
Lofgreen, David is an individual health care provider with primary practice located at 638 N Webb Rd Suite 1, Grand Island NE 68803-4049. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lofgreen, David can be contacted via phone (308) 381-0167.Contact Information
Primary practice address
638 N Webb Rd Suite 1
Grand Island NE 68803-4049
Phone: (308) 381-0167
Fax: (308) 381-6689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4258 | Nebraska |
Profile Details
| NPI number | 1750367728 |
|---|---|
| LBN Legal business name | Lofgreen, David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750367728 | NPPES |
| Nebraska | MEDICAID | 47059758613 | |
| Nebraska | Other | 4764 |
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