Deborah Kay Domen, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH31087 Issued in FL

Practice address

Naval Hospital 2080 Child St Dept 5000
Jacksonville, FL 32214-0001

Phone

(912) 573-4212

NPI assigned

Feb 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Deborah Kay Dishmond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1750196176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97182 HARBOR CONCOURSE CIR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343873",
            "telephone_number": "910-526-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL 2080 CHILD ST DEPT 5000",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322140001",
            "telephone_number": "912-573-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMEN",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH043616",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NC",
            "license": "9243",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH31087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DISHMOND",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "R.D.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dolphin Pointe Health Care, LLC
• Sona Dolsenhe, ARNP
• Theresa M Domagola, ACNP-BC, PMHNP-BC
• Eric Dombroski, D.O
• Keisey Kathleen Dombrowski, AA
• Michael E. Domery, PSY.D.
• Harrison Domeshek
• Deanna Domineck
• Patrick J Domingo, OD
• April Dominguez, B.S.

• Dental Hygienist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.