Provider Demographics
NPI:1275587370
Name:LUBELL, DEBORAH S (DMD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:LUBELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7642
Mailing Address - Country:US
Mailing Address - Phone:561-795-7959
Mailing Address - Fax:561-795-8919
Practice Address - Street 1:685 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE #201
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7642
Practice Address - Country:US
Practice Address - Phone:561-795-7959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 92691223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry