Provider Demographics
NPI:1881958866
Name:DECAMPS, DEBORAH (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:DECAMPS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:WENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:110 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-3107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 W 39TH ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-3107
Practice Address - Country:US
Practice Address - Phone:410-366-3323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD156621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics