Individual
DARRELL JAMES EBKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40TH & HOLDREGE STREET, LINCOLN, NE 68583-0740
(402) 472-8900
Mailing address
741 CAMBRIAN CT, LINCOLN, NE 68510-5200
(402) 489-6961
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5762
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4884
BC/BS
NE
Enumeration date
11/21/2006
Last updated
02/20/2008
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