MEDICARE: DEBORAH F. NOVAK,DDS,PA

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144492836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBORAH F. NOVAK,DDS,PA

Provider Business Mailing Address
First Line	:	2380 HICKSWOOD RD
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-1458
Country	:	US
Telephone Number	:	336-884-4001
Fax Number	:	336-884-0265

Provider Business Practice Location Address
First Line	:	2380 HICKSWOOD RD
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-1458
Country	:	US
Telephone Number	:	336-884-4001
Fax Number	:	336-884-0265

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. DEBORAH FRAZIER NOVAK
Credential	:	DDS
Telephone Number	:	336-884-4001

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	12/14/2010

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