Provider Demographics
NPI:1982747655
Name:HIGHAM, DEBRA ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:ANN
Last Name:HIGHAM
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 1:500 MAPLEWOOD DR
Mailing Address - Street 2:B-1
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5847
Mailing Address - Country:US
Mailing Address - Phone:561-746-8095
Mailing Address - Fax:
Practice Address - Street 1:500 MAPLEWOOD DR
Practice Address - Street 2:B-1
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5847
Practice Address - Country:US
Practice Address - Phone:561-746-8095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN109201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice