Healthcare Provider Details

I. General information

NPI: 1598881195
Provider Name (Legal Business Name): DEBRA ANN BYERS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N AVENUE D
BURKBURNETT TX
76354-3510
US

IV. Provider business mailing address

115 N AVENUE D
BURKBURNETT TX
76354-3510
US

V. Phone/Fax

Practice location:
  • Phone: 346-549-0426
  • Fax:
Mailing address:
  • Phone: 346-549-0426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number35942
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number038765
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number037584
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: