Provider Demographics
NPI:1083758205
Name:FINNEY, DEBRA SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:SUE
Last Name:FINNEY
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 1:1631 CREEKSIDE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3820
Mailing Address - Country:US
Mailing Address - Phone:916-984-8404
Mailing Address - Fax:916-984-9308
Practice Address - Street 1:1631 CREEKSIDE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3820
Practice Address - Country:US
Practice Address - Phone:916-984-8404
Practice Address - Fax:916-984-9308
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA346961223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics