Individual
TRACY HEGEHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1140 N 83RD ST, LINCOLN, NE 68505-2080
(402) 483-4322
Mailing address
1140 N 83RD ST, LINCOLN, NE 68505-2080
(402) 483-4322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7726
NE
1223P0221X
Pediatric Dentistry
Primary
7726
NE
Other
Enumeration date
06/14/2021
Last updated
07/25/2024
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