Gay M Derderian is a Periodontics in Milwaukee, Wisconsin. Gay M Derderian practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gay M Derderian is 1548356702. The last update date is 2007-07-08.
Gay M Derderian's current location address is Po Box 1881, Milwaukee, Wisconsin. You can contact this provider via phone number 4142880788 and fax number 4142880678. The mailing address for Gay M Derderian is Po Box 1881, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gay M Derderian |
|---|---|
| Address | Po Box 1881, Milwaukee, Wisconsin |
| Phone Number | 4142880788 |
| Fax Number | 4142880678 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548356702 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1881 |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532011881 |
| Phone Number | 4142880788 |
| Fax Number | 4142880678 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3370015 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Gay M Derderian by the Centers for Medicare & Medicaid Services?
The Gay M Derderian has been issued the NPI (National Provider Identifier) 1548356702. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gay M Derderian located?
The Gay M Derderian is located at Po Box 1881, Milwaukee, WI 532011881.
What is Gay M Derderian's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gay M Derderian is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date was the 1548356702 assigned to Gay M Derderian?
The Gay M Derderian was issued its 1548356702 on 2006-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gay M Derderian most recently updated?
The details pertaining to the Gay M Derderian, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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