Provider Demographics
NPI:1457441420
Name:NOVAK, DEBORAH F (DDS)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:F
Last Name:NOVAK
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:1638 WESTCHESTER DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262
Mailing Address - Country:US
Mailing Address - Phone:336-884-4001
Mailing Address - Fax:336-884-0265
Practice Address - Street 1:1638 WESTCHESTER DR
Practice Address - Street 2:SUITE 111
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262
Practice Address - Country:US
Practice Address - Phone:336-884-4001
Practice Address - Fax:336-884-0265
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC56211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics