Organization
GREGORY FOUGHT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI STEVENS (OFFICE MANAGER)
(402) 421-8021
Entity
Organization
Contact information
Practice address
8600 EXECUTIVE WOODS DR, SUITE 100, LINCOLN, NE 68512-9301
(402) 421-8021
Mailing address
8600 EXECUTIVE WOODS DR, SUITE 100, LINCOLN, NE 68512-9301
(402) 421-8021
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6432
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50696334400
—
NE
Enumeration date
02/26/2013
Last updated
02/26/2013
Update your record
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