Provider Demographics
NPI:1902982341
Name:CONNER, DEBORAH ANN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:CONNER
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2565
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27715-2565
Mailing Address - Country:US
Mailing Address - Phone:919-416-4200
Mailing Address - Fax:919-416-4230
Practice Address - Street 1:922 BROAD ST
Practice Address - Street 2:STE B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4147
Practice Address - Country:US
Practice Address - Phone:919-416-4200
Practice Address - Fax:919-416-4230
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72661223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics