MEDICARE: DR. DEBRA C DUFFY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	16181	TX

General Provider Information

NPI Number	:	1629040258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA C DUFFY DDS

Provider Business Mailing Address
First Line	:	2701 OLD SETTLERS RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4728
Country	:	US
Telephone Number	:	972-724-1617
Fax Number	:	972-874-1220

Provider Business Practice Location Address
First Line	:	2701 OLD SETTLERS RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4728
Country	:	US
Telephone Number	:	972-724-1617
Fax Number	:	972-874-1220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	01/20/2020

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