Healthcare Provider Details

I. General information

NPI: 1992909501
Provider Name (Legal Business Name): WILLIAM A DABBERT D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W ELDORA AVE
WEEPING WATER NE
68463-4201
US

IV. Provider business mailing address

8308 UPTON GREY LN
LINCOLN NE
68516-9387
US

V. Phone/Fax

Practice location:
  • Phone: 402-267-2325
  • Fax: 402-267-2725
Mailing address:
  • Phone: 402-440-7098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6707
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: