Provider Demographics
NPI:1922101005
Name:MAJERUS, DEBORAH C (DDS,MS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:C
Last Name:MAJERUS
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:C
Other - Last Name:MAJERUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS,MS
Mailing Address - Street 1:2659 SUPERIOR DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8533
Mailing Address - Country:US
Mailing Address - Phone:507-281-1295
Mailing Address - Fax:719-260-2339
Practice Address - Street 1:2659 SUPERIOR DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8533
Practice Address - Country:US
Practice Address - Phone:507-281-1295
Practice Address - Fax:507-529-5589
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89161223E0200X
MND119021223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics