Provider Demographics
NPI:1992909501
Name:DABBERT, WILLIAM A (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:DABBERT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8308 UPTON GREY LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-9387
Mailing Address - Country:US
Mailing Address - Phone:402-440-7098
Mailing Address - Fax:
Practice Address - Street 1:105 W ELDORA AVE
Practice Address - Street 2:
Practice Address - City:WEEPING WATER
Practice Address - State:NE
Practice Address - Zip Code:68463-4201
Practice Address - Country:US
Practice Address - Phone:402-267-2325
Practice Address - Fax:402-267-2725
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6707122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist