MEDICARE: DEBORAH J. ATEN, DDS, PLLC

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	122300000X	Dentist	06311	NC

General Provider Information

NPI Number	:	1679750848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBORAH J. ATEN, DDS, PLLC

Provider Business Mailing Address
First Line	:	3420 TORINGDON WAY
Second Line	:	SUITE 310
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2438
Country	:	US
Telephone Number	:	704-540-4252
Fax Number	:	704-540-4286

Provider Business Practice Location Address
First Line	:	3420 TORINGDON WAY
Second Line	:	SUITE 310
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2438
Country	:	US
Telephone Number	:	704-540-4252
Fax Number	:	704-540-4286

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. DEBORAH J. ATEN
Credential	:	DDS
Telephone Number	:	704-540-4252

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	01/29/2008

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