Peter John Debuck, DMD
Dentist, General Practice in Farmington, NM. Individual provider (NPI-1).
NPI number1013976232
StatusActive
Last updated in NPPESMar 10, 2022
Details
- NPI
- 1013976232
- Entity type
- Individual (NPI-1)
- Name
- Peter John Debuck
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2006
- Certification date
- Feb 11, 2022
- Last updated
- Mar 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DD2705 | NM | Yes |
| 1223G0001X | Dentist, General Practice | 332849 | UT |
Practice location
3501 N Butler AveFarmington, NM 87401-6429
Phone 505-918-1531
Mailing address
3501 N Butler AveFarmington, NM 87401-6429
Phone 505-918-1531
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All 52 General Practice Dentistry providers in Farmington · All 2,079 providers in Farmington
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