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NPI Code Detail

MEDICARE: DEBORAH L FOX DDS

MEDICARE: DEBORAH L FOX 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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry44789NY

Other Identifiers

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

General Provider Information

NPI Number : 1346336773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L FOX DDS
Provider Business Mailing Address
First Line : 505 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-3005
Country : US
Telephone Number : 585-621-5520
Fax Number : 585-621-1845
Provider Business Practice Location Address
First Line : 505 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-3005
Country : US
Telephone Number : 585-621-5520
Fax Number : 585-621-1845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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