Provider Demographics
NPI:1538145305
Name:NOYES, DEBORAH RUTH (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:RUTH
Last Name:NOYES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:RUTH
Other - Last Name:WALCAVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:2955 CRAIN HWY
Mailing Address - Street 2:SUITE O
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-2810
Mailing Address - Country:US
Mailing Address - Phone:301-843-9330
Mailing Address - Fax:
Practice Address - Street 1:2955 CRAIN HWY
Practice Address - Street 2:SUITE O
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-2810
Practice Address - Country:US
Practice Address - Phone:301-843-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist