Healthcare Provider Details

I. General information

NPI: 1730519646
Provider Name (Legal Business Name): DEBORAH K VARNEY,DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MANCHESTER ST
PITTSFIELD NH
03263-3401
US

IV. Provider business mailing address

50 MANCHESTER ST
PITTSFIELD NH
03263-3401
US

V. Phone/Fax

Practice location:
  • Phone: 603-435-8030
  • Fax: 603-435-8107
Mailing address:
  • Phone: 603-435-8030
  • Fax: 603-435-8107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number3076
License Number StateNH

VIII. Authorized Official

Name: DR. DEBORAH K VARNEY
Title or Position: MANAGER
Credential: DMD
Phone: 603-435-8030