Provider Demographics
NPI:1881318467
Name:HECOX DENTISTRY, PC
Entity type:Organization
Organization Name:HECOX DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHTON
Authorized Official - Middle Name:
Authorized Official - Last Name:HECOX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:308-529-2810
Mailing Address - Street 1:PO BOX 228
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-0228
Mailing Address - Country:US
Mailing Address - Phone:308-537-5252
Mailing Address - Fax:308-537-5252
Practice Address - Street 1:1014 LAKE AVE
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-1946
Practice Address - Country:US
Practice Address - Phone:308-537-5252
Practice Address - Fax:308-537-5254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental