| Douglas Norman Dederich, DDS, PHD | |
|
500 W Silver Spring Dr Ste K250, Glendale, WI 53217-5062 | |
| (414) 963-2301 | |
| Not Available |
| Full Name | Douglas Norman Dederich |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 500 W Silver Spring Dr Ste K250, Glendale, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932949203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3322-15 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Norman Dederich, DDS, PHD 6330 W Greenfield Ave Apt 408, Milwaukee, WI 53214-5073 Ph: (780) 868-1562 | Douglas Norman Dederich, DDS, PHD 500 W Silver Spring Dr Ste K250, Glendale, WI 53217-5062 Ph: (414) 963-2301 |
Dr. Christopher Patrick Mcaboy, DDS Dentist Medicare: Medicare Enrolled Practice Location: 377 W River Woods Parkway, Suite #120, Glendale, WI 53212 Phone: 414-906-8940 Fax: 414-906-8950 | |
Dr. Mehran Mehrabi, MD, DMD Dentist Medicare: Medicare Enrolled Practice Location: 500 W Silver Spring Dr, Suite 250 K, Glendale, WI 53217 Phone: 414-475-9632 Fax: 414-963-0413 | |
Dr. Liberty Ann Boucher, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7040 N Port Washington Rd, Glendale, WI 53217 Phone: 414-351-6010 | |
Maryam Tunio, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5623 N Green Bay Ave, Glendale, WI 53209 Phone: 414-228-3000 | |
Dr. William C. Dowsett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6916 N Port Washington Rd, Glendale, WI 53217 Phone: 414-540-9530 | |
Roman Gorodesky, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7101 N Green Bay Ave, Ste 10, Glendale, WI 53209 Phone: 414-351-0510 Fax: 414-351-1440 | |
Dr. Amanda Lathe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7155 N Port Washington Rd, Glendale, WI 53217 Phone: 414-928-2518 |