Individual
JEROLD EDWARD EBKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 7TH ST, FAIRBURY, NE 68352-2309
(402) 729-6277
(402) 729-6296
Mailing address
PO BOX 603, FAIRBURY, NE 68352-0603
(402) 729-6277
(402) 729-6296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4737N
NE
Other
Enumeration date
07/03/2007
Last updated
05/10/2011
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