Provider Demographics
NPI:1932462223
Name:HECOX, ASHTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHTON
Middle Name:
Last Name:HECOX
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 AVE E
Mailing Address - Street 2:
Mailing Address - City:COZAD
Mailing Address - State:NE
Mailing Address - Zip Code:69130
Mailing Address - Country:US
Mailing Address - Phone:308-784-2828
Mailing Address - Fax:
Practice Address - Street 1:810 AVENUE E
Practice Address - Street 2:
Practice Address - City:COZAD
Practice Address - State:NE
Practice Address - Zip Code:69130-1845
Practice Address - Country:US
Practice Address - Phone:308-784-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE70101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice