Provider Demographics
NPI:1447440565
Name:PREPSKY, DEVOREE DENISE (DMD)
Entity type:Individual
Prefix:DR
First Name:DEVOREE
Middle Name:DENISE
Last Name:PREPSKY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5348 TOPANGA CANYON BL
Mailing Address - Street 2:#102
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-883-0007
Mailing Address - Fax:818-883-7408
Practice Address - Street 1:5348 TOPANGA CANYON BL
Practice Address - Street 2:#102
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-883-0007
Practice Address - Fax:818-883-7408
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35536122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist