Provider Demographics
NPI:1497838163
Name:FINK, DEBRA F (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:F
Last Name:FINK
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13302 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1709
Mailing Address - Country:US
Mailing Address - Phone:314-984-9900
Mailing Address - Fax:314-984-8589
Practice Address - Street 1:13302 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1709
Practice Address - Country:US
Practice Address - Phone:314-984-9900
Practice Address - Fax:314-984-8589
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0148881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics