Provider Demographics
NPI:1992918296
Name:CARRI, DEBRA (DMD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:
Last Name:CARRI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 OMEGA DR
Mailing Address - Street 2:SUITE J-31
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2058
Mailing Address - Country:US
Mailing Address - Phone:302-733-7600
Mailing Address - Fax:302-733-7522
Practice Address - Street 1:31 OMEGA DR
Practice Address - Street 2:SUITE J-31
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2058
Practice Address - Country:US
Practice Address - Phone:302-733-7600
Practice Address - Fax:302-733-7522
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00011371223E0200X
PADS030451L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics