Provider Demographics
NPI:1184321119
Name:LOPES SALLES SCHEFFEL, DEBORA (DDS)
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:
Last Name:LOPES SALLES SCHEFFEL
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 1:2200 TRACERY OAKS DR APT 3206
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-8309
Mailing Address - Country:US
Mailing Address - Phone:706-373-1221
Mailing Address - Fax:
Practice Address - Street 1:740 S LIMESTONE STE A201
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-6261
Practice Address - Fax:859-323-2036
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY108641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry