Edgerton, Debra
Edgerton, Debra is an individual health care provider with primary practice located at 1600 Thorpe Rd , Las Cruces NM 88012-9776. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Edgerton, Debra can be contacted via phone (505) 267-3088.Contact Information
Primary practice address
1600 Thorpe Rd
Las Cruces NM 88012-9776
Phone: (505) 267-3088
Fax: (505) 267-1747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD1663 | New Mexico |
Profile Details
| NPI number | 1447243837 |
|---|---|
| LBN Legal business name | Edgerton, Debra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Dec 3rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447243837 | NPPES |
| New Mexico | MEDICAID | 89441 |
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