Provider Demographics
NPI:1821170440
Name:HOHL, REBECCA HECOX (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:HECOX
Last Name:HOHL
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:5700 THOMPSON CREEK BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6579
Mailing Address - Country:US
Mailing Address - Phone:402-421-8000
Mailing Address - Fax:402-421-8003
Practice Address - Street 1:5700 THOMPSON CREEK BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6579
Practice Address - Country:US
Practice Address - Phone:402-421-8000
Practice Address - Fax:402-421-8003
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE63171223X0400X
IA083111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025185800Medicaid