Provider Demographics
NPI:1629040258
Name:DUFFY, DEBRA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:C
Last Name:DUFFY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2701 OLD SETTLERS RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4728
Mailing Address - Country:US
Mailing Address - Phone:972-724-1617
Mailing Address - Fax:972-874-1220
Practice Address - Street 1:2701 OLD SETTLERS RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4728
Practice Address - Country:US
Practice Address - Phone:972-724-1617
Practice Address - Fax:972-874-1220
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX161811223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry