Individual
DEBORAH S COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1908 N MAIN ST, HAZARD, KY 41701-2505
(606) 436-0840
(606) 436-0845
Mailing address
1908 N MAIN ST, P. O. BOX 957 -MAILING, HAZARD, KY 41701-2505
(606) 436-0840
(606) 436-0845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8044
KY
1223G0001X
General Practice Dentistry
8044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100088910
—
KY
Enumeration date
03/08/2007
Last updated
06/12/2013
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