Provider Demographics
NPI:1851366033
Name:DEEG, DEBORAH K (DDS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:DEEG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14991 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 390
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3983
Mailing Address - Country:US
Mailing Address - Phone:303-690-6662
Mailing Address - Fax:303-690-9699
Practice Address - Street 1:14991 E HAMPDEN AVE
Practice Address - Street 2:SUITE 390
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3983
Practice Address - Country:US
Practice Address - Phone:303-690-6662
Practice Address - Fax:303-690-9699
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO052341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice