Provider Demographics
NPI:1871623421
Name:CHECK, DEBRA J (DDS)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:J
Last Name:CHECK
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 1:435 TROY SCHENECTADY RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-3208
Mailing Address - Country:US
Mailing Address - Phone:518-785-5131
Mailing Address - Fax:518-785-3333
Practice Address - Street 1:435 TROY SCHENECTADY RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-3208
Practice Address - Country:US
Practice Address - Phone:518-785-5131
Practice Address - Fax:518-785-3333
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045233-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice