Provider Demographics
NPI:1316360100
Name:MD HOEFS DDS PC
Entity Type:Organization
Organization Name:MD HOEFS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HOEFS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-488-1113
Mailing Address - Street 1:4131 PIONEER WOODS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7556
Mailing Address - Country:US
Mailing Address - Phone:402-488-1113
Mailing Address - Fax:402-488-1119
Practice Address - Street 1:4131 PIONEER WOODS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7556
Practice Address - Country:US
Practice Address - Phone:402-488-1113
Practice Address - Fax:402-488-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE47431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty