IndividualActive
Debra Vine
NPI 1851847131 · Dental Assistant · Fort Leonard Wood, MO
Provider details
- NPI number
- 1851847131
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
12720 Kansas Ave
Bldg 789
Fort Leonard Wood, MO 65473
Phone: (573) 596-1470
Fax: (573) 596-1482
Approximate (ZIP-level) locationGet directions
Mailing address
12720 Kansas Ave
Ft. Leonard Wood, MO 65473
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2016-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.