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IndividualActive

Douglas Norman Dederich

DDS, PHD

Dentist - Periodontics

NPI: 1932949203Glendale, Wisconsin, 53217(414) 963-2301Male

About Douglas Norman Dederich

Douglas Norman Dederich, DDS, PHD, is a male healthcare professional specializing in Dentist - Periodontics with a focus on Periodontics, registered under National Provider Identifier (NPI) number 1932949203.

Their primary practice is located at 500 W SILVER SPRING DR STE K250, Glendale, Wisconsin 53217. Patients can reach the office at (414) 963-2301. Douglas Norman Dederich has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1932949203
Entity Type
Individual
First Name
Douglas
Last Name
Dederich
Credential
DDS, PHD
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
500 W SILVER SPRING DR STE K250
City
Glendale
State
Wisconsin
ZIP
53217-5062
Country
United States
Phone
(414) 963-2301

Specialty & Taxonomy

Primary Specialty
Dentist - Periodontics
Classification
Dentist
Specialization
Periodontics
Taxonomy Code
1223P0300X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
6330 W GREENFIELD AVE APT 408
City
MILWAUKEE
State
WI
ZIP
532145073

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Douglas Norman Dederich's NPI number?
Douglas Norman Dederich's National Provider Identifier (NPI) is 1932949203. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Douglas Norman Dederich specialize in?
Douglas Norman Dederich specializes in Dentist - Periodontics.
Where is Douglas Norman Dederich located?
Douglas Norman Dederich practices at 500 W SILVER SPRING DR STE K250, Glendale, Wisconsin 53217. You can reach them by phone at (414) 963-2301.
Does Douglas Norman Dederich accept Medicare?
Based on available data, Douglas Norman Dederich is not currently enrolled in the Medicare program.
Does Douglas Norman Dederich offer telehealth or virtual visits?
Douglas Norman Dederich does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Douglas Norman Dederich is 1932949203.