# THOMAS G. FAGOT, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lexington Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417207929
- **Authorized official:** DR. THOMAS GEORGE ALEXANDER DDS (DENTIST/EMPLOYEE)
- **Authorized official phone:** (308) 324-7422

## Contact information

- **Practice address:** 1220 N ADAMS ST, LEXINGTON, NE 68850-1621
- **Practice address phone:** (308) 324-7422
- **Practice address fax:** (308) 324-7423
- **Mailing address:** 1220 N ADAMS ST, PO BOX 940, LEXINGTON, NE 68850-1621
- **Mailing address phone:** (308) 324-7422
- **Mailing address fax:** (308) 324-7423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6905 | NE | Yes |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 09/12/2012