Debora Ann Bolton

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7251 Issued in NC

Practice address

3823 Guess Rd
Suite P
Durham, NC 27705-1533

Phone

(919) 479-5800

Fax

(919) 620-9244

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Debora a. Bolton, DDS, PA

  • General Practice Dentistry
  • Durham, NC
  • NPI 1104007996
  NPD (past) Authorized official
• Aman Masoomi, DDS, PLLC

  • General Practice Dentistry
  • Durham, NC
  • NPI 1598584781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1316975428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 GUESS RD",
            "address_2": "SUITE P",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-479-5800",
            "fax_number": "919-620-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 GUESS RD",
            "address_2": "SUITE P",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051533",
            "telephone_number": "919-479-5800",
            "fax_number": "919-620-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "DEBORA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bolles, P.A.
• Ricardo Daniel Bollinger-Vallejo, AUD
• Laxmi Reddy Bollu, PT
• Sarah Bologna, CNS
• Michael P Bolognesi, M.D.
• Shannon Moffitt Bomstein, AUD
• Momoh Augustine Bona, RBT, DSP, HHA
• Romin Bonakdar
• Jennifer L Bonano, MS, OTR/L
• Elizabeth Clare Bond, MB CHB

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.