Provider Demographics
NPI:1013006501
Name:DEIBLER, VALERIE S (DDS)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:S
Last Name:DEIBLER
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 1:2001 STATE HILL RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1607
Mailing Address - Country:US
Mailing Address - Phone:610-375-1381
Mailing Address - Fax:610-375-4605
Practice Address - Street 1:2001 STATE HILL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1607
Practice Address - Country:US
Practice Address - Phone:610-375-1381
Practice Address - Fax:610-375-4605
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028240L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA742085OtherUNITED CONCORDIA/ BLUE SH