Provider Demographics
NPI:1285015198
Name:LUX, DEBI (DDS)
Entity Type:Individual
Prefix:
First Name:DEBI
Middle Name:
Last Name:LUX
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 1:3411 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3700
Mailing Address - Country:US
Mailing Address - Phone:239-300-6598
Mailing Address - Fax:
Practice Address - Street 1:3411 TAMIAMI TRL N
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3700
Practice Address - Country:US
Practice Address - Phone:239-300-6598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13501122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist