Organization
ISLAND VIEW DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VOLNEY LOFGREEN D.D.S. (DENTIST)
(308) 381-0167
Entity
Organization
Contact information
Practice address
638 N. WEBB RD, SUITE 1, GRAND ISLAND, NE 68803-4057
(308) 381-0167
(308) 381-6689
Mailing address
638 N. WEBB RD, SUITE 1, GRAND ISLAND, NE 68803-4057
(308) 381-0167
(308) 381-6689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4258
NE
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
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