Individual
DR. MIKE W HECOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
810 E STREET, COZAD, NE 69130-1845
(308) 784-2828
(308) 784-2834
Mailing address
810 E STREET, PO BOX 287, COZAD, NE 69130-1845
(308) 784-2828
(308) 784-2834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5129
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05483
BCBS OF NE
NE
Enumeration date
10/31/2006
Last updated
07/08/2007
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