MEDICARE: DR. DEBORAH KAY RUPRECHT 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
1	1223P0300X	Periodontics	42878	CA

General Provider Information

NPI Number	:	1598935538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH KAY RUPRECHT DDS

Provider Business Mailing Address
First Line	:	2372 SE BRISTOL ST STE A
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-0755
Country	:	US
Telephone Number	:	949-833-2263
Fax Number	:	949-833-7760

Provider Business Practice Location Address
First Line	:	2372 SE BRISTOL ST STE A
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-0755
Country	:	US
Telephone Number	:	949-833-2263
Fax Number	:	949-833-7760

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2008
Last Update Date	:	02/13/2024

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