Provider Demographics
NPI:1922127521
Name:DOBBS, DEBRA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:ANN
Last Name:DOBBS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:DOBBS DEBOER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 807
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-0807
Mailing Address - Country:US
Mailing Address - Phone:516-457-8881
Mailing Address - Fax:
Practice Address - Street 1:470 PATCHOGUE HOLBROOK RD
Practice Address - Street 2:SUITE #2
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-1637
Practice Address - Country:US
Practice Address - Phone:631-589-8485
Practice Address - Fax:631-589-0229
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045663-31223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics