Richard E. Derrick, Dmd, Pa | |
3 Mountain Ave Mendham NJ 07945-1424 | |
(973) 543-6666 | |
(973) 543-5702 |
Full Name | Richard E. Derrick, Dmd, Pa |
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Speciality | Dentist - General Practice |
Location | 3 Mountain Ave, Mendham, New Jersey |
Authorized Official Name and Position | Richard E. Derrick (DENTIST) |
Authorized Official Contact | 9735436666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard E. Derrick, Dmd, Pa 3 Mountain Ave Mendham NJ 07945-1424 Ph: (973) 543-6666 | Richard E. Derrick, Dmd, Pa 3 Mountain Ave Mendham NJ 07945-1424 Ph: (973) 543-6666 |
NPI Number | 1720140601 |
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Provider Enumeration Date | 12/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1720140601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI00808700 (New Jersey) | Primary |