Provider Demographics
NPI:1851454607
Name:BUCCI, DEBORAH ANDREWS (DMD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANDREWS
Last Name:BUCCI
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 1:1701 DUNCAN AVENUE
Mailing Address - Street 2:DUNCAN MANOR SHOPPING CENTER
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2865
Mailing Address - Country:US
Mailing Address - Phone:412-366-5920
Mailing Address - Fax:
Practice Address - Street 1:1701 DUNCAN AVENUE
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2865
Practice Address - Country:US
Practice Address - Phone:412-366-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019454L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice