| Robert J Deregis Dmd,pc | |
|
183 Bedford St Ste 1 Suite 1 Lexington MA 02420-4428 | |
| (781) 862-7474 | |
| (781) 862-7475 |
| Full Name | Robert J Deregis Dmd,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 183 Bedford St Ste 1, Lexington, Massachusetts |
| Authorized Official Name and Position | Robert J Deregis (GENERAL DENTIST) |
| Authorized Official Contact | 7818627474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Deregis Dmd,pc 183 Bedford St Ste 1 Suite 1 Lexington MA 02420-4428 Ph: (781) 862-7474 | Robert J Deregis Dmd,pc 183 Bedford St Ste 1 Suite 1 Lexington MA 02420-4428 Ph: (781) 862-7474 |
| NPI Number | 1194934869 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194934869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18626 (Massachusetts) | Primary |
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