Provider Demographics
NPI:1417264284
Name:PLIVER, DEBORAH (DDS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:PLIVER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:436 N ROXBURY DR STE 203
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5017
Mailing Address - Country:US
Mailing Address - Phone:310-926-6220
Mailing Address - Fax:
Practice Address - Street 1:436 N ROXBURY DR STE 203
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5017
Practice Address - Country:US
Practice Address - Phone:310-926-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1018591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1417264284Medicaid
CADDS101859OtherCALIFORNIA DENTAL LICENSE