# ISLAND VIEW DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003182783
- **Authorized official:** DAVID VOLNEY LOFGREEN D.D.S. (DENTIST)
- **Authorized official phone:** (308) 381-0167

## Contact information

- **Practice address:** 638 N. WEBB RD, SUITE 1, GRAND ISLAND, NE 68803-4057
- **Practice address phone:** (308) 381-0167
- **Practice address fax:** (308) 381-6689
- **Mailing address:** 638 N. WEBB RD, SUITE 1, GRAND ISLAND, NE 68803-4057
- **Mailing address phone:** (308) 381-0167
- **Mailing address fax:** (308) 381-6689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4258 | NE | Yes |
| 1223G0001X | General Practice Dentistry | 4264 | NE | — |
| 1223G0001X | General Practice Dentistry | 6282 | NE | — |
| 1223P0221X | Pediatric Dentistry | 5663 | NE | — |

## Other

- **Enumeration date:** 03/28/2012
- **Last updated:** 03/28/2012
