Debra Williams George, DMD
Individual provider Active NPI Dentist · Vineyard Haven, MA
NPI 1104253988 · NPPES record last updated Oct 11, 2013
Key facts
- NPI
- 1104253988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN16516 (MA)
- Practice address
- 23 Airport Rd
Vineyard Haven, MA 02568-8103 - Phone
- (508) 693-3766
- NPI assigned
- Oct 11, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16516 | MA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN16516 | MA | Yes |
Addresses
Primary practice location
23 Airport Rd
Vineyard Haven, MA 02568-8103
Mailing address
288 Highland Ave
South Attleboro, MA 02703-6880
Phone (508) 761-5230
Other providers in Vineyard Haven, MA
- Joyce Ganapol
- Marlon German Garcia
- Garrett Orazem, DMD
- Jennifer Suzanne Gatchell
- George Family Orthodontics
- Carrie Beth Giacomini-White
- Nancy B. Gilfoy
- Judith Leers Golden
- Marianne G Goldsmith
- Nina Gomez Gordon
All providers in Vineyard Haven, MA · Dentist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.