Individual
DR. THOMAS GEORGE FAGOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1220 N ADAMS ST, LEXINGTON, NE 68850-1621
(308) 324-7422
Mailing address
PO BOX 940, LEXINGTON, NE 68850-0940
(308) 324-7422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5151
NE
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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