Provider Demographics
NPI:1922119619
Name:HART, DEBORAH LEAH (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LEAH
Last Name:HART
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 1:5828 WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2110
Mailing Address - Country:US
Mailing Address - Phone:412-362-4425
Mailing Address - Fax:412-362-7603
Practice Address - Street 1:5828 WAYNE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2110
Practice Address - Country:US
Practice Address - Phone:412-362-4425
Practice Address - Fax:412-362-7603
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 024949L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist