Provider Demographics
NPI:1831358563
Name:RONKAR, REBECCA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:RONKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 21ST ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-3012
Mailing Address - Country:US
Mailing Address - Phone:402-326-0960
Mailing Address - Fax:
Practice Address - Street 1:2526 17TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4349
Practice Address - Country:US
Practice Address - Phone:402-564-4408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE67731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice