Debora G. De Farias, D.D.S, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17099 Issued in FL

Practice address

7740 Point Meadows Dr
Suite 4
Jacksonville, FL 32256-9179

Phone

(904) 645-6457

Fax

(904) 645-6459

NPI assigned

Nov 7, 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

Credentials

Master of Science

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.

• Jacksonville Complete Dentistry PLLC

  • Dentist
  • Jacksonville, FL
  • NPI 1194235689
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366511172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 HALETHORPE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231313",
            "telephone_number": "904-288-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 POINT MEADOWS DR",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569179",
            "telephone_number": "904-645-6457",
            "fax_number": "904-645-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FARIAS",
        "first_name": "DEBORA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoya Chantae Day, RPH
• Anatoliy Daynega
• Shannon Michelle Dayton, ANCPC-NP
• DC Stiles, Inc
• Gaetano De Biase, MD
• Nicole De Graw
• Danielle De Greef
• Christine De Jesus, M.S., ED.S.
• Joseph De Jesus, DDS
• Reordan Osiris De Jesus, MD

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.