Healthcare Provider Details

I. General information

NPI: 1295408342
Provider Name (Legal Business Name): REBECCA BECKLER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 W FAIDLEY AVE STE 2100
GRAND ISLAND NE
68803-4602
US

IV. Provider business mailing address

2116 W FAIDLEY AVE STE 2100
GRAND ISLAND NE
68803-4602
US

V. Phone/Fax

Practice location:
  • Phone: 308-382-4297
  • Fax: 308-382-4376
Mailing address:
  • Phone: 308-382-4297
  • Fax: 308-382-4376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number7741
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: