Provider Demographics
NPI:1447364328
Name:DEBONIS, ABBY MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:MARIE
Last Name:DEBONIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4341 TUDOR CENTRE DR 100
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5904
Mailing Address - Country:US
Mailing Address - Phone:907-729-5157
Mailing Address - Fax:
Practice Address - Street 1:1060 GAFFNEY ROAD #7500
Practice Address - Street 2:USA DENTAC
Practice Address - City:FORT WAINWRIGHT
Practice Address - State:AK
Practice Address - Zip Code:99703
Practice Address - Country:US
Practice Address - Phone:907-361-5530
Practice Address - Fax:907-361-4859
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6031-015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist