Individual
DR. DAVID LOFGREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
638 N WEBB RD, SUITE 1, GRAND ISLAND, NE 68803-4049
(308) 381-0167
(308) 381-6689
Mailing address
638 N WEBB RD, SUITE 1, GRAND ISLAND, NE 68803-4049
(308) 381-0167
(308) 381-6689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4258
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47059758613
—
NE
01
—
4764
BC/BS PROVIDER #
NE
Enumeration date
12/21/2005
Last updated
07/09/2007
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