Provider Demographics
NPI:1689355760
Name:HOHMAN FAMILY DENTISTRY P.C.
Entity Type:Organization
Organization Name:HOHMAN FAMILY DENTISTRY P.C.
Other - Org Name:DOUG HOHMAN FAMILY DENTSTISTY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SECRETARY OF CORPORTATION
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HOHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-953-9586
Mailing Address - Street 1:1223 HILL ST
Mailing Address - Street 2:
Mailing Address - City:HOLDREGE
Mailing Address - State:NE
Mailing Address - Zip Code:68949-1235
Mailing Address - Country:US
Mailing Address - Phone:308-995-8639
Mailing Address - Fax:308-995-8639
Practice Address - Street 1:1223 HILL ST
Practice Address - Street 2:
Practice Address - City:HOLDREGE
Practice Address - State:NE
Practice Address - Zip Code:68949-1235
Practice Address - Country:US
Practice Address - Phone:308-995-8639
Practice Address - Fax:308-995-8639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty