Provider Demographics
NPI:1538314158
Name:BOYER, DEBORAH A (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:A
Last Name:BOYER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 S RANGE LINE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2542
Mailing Address - Country:US
Mailing Address - Phone:317-846-3539
Mailing Address - Fax:317-249-2619
Practice Address - Street 1:912 S RANGE LINE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2542
Practice Address - Country:US
Practice Address - Phone:317-846-3539
Practice Address - Fax:317-249-2619
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120089911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice