Provider Demographics
NPI:1437279155
Name:DEBORAH YARMUSH, D.M.D
Entity Type:Organization
Organization Name:DEBORAH YARMUSH, D.M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTISTOWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:YARMUSH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-668-2897
Mailing Address - Street 1:801 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2957
Mailing Address - Country:US
Mailing Address - Phone:508-668-2897
Mailing Address - Fax:508-668-2914
Practice Address - Street 1:801 MAIN ST
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2957
Practice Address - Country:US
Practice Address - Phone:508-668-2897
Practice Address - Fax:508-668-2914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16342261QD0000X
MA20068261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental