Dederich, Douglas Norman

Dederich, Douglas Norman is an sole proprietor health care provider with primary practice located at 500 W Silver Spring Dr Ste K250 , Glendale WI 53217-5062. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Dederich, Douglas Norman can be contacted via phone (414) 963-2301.

Contact Information

Primary practice address
500 W Silver Spring Dr Ste K250 Glendale WI 53217-5062
Phone: (414) 963-2301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3322-15 Wisconsin

Profile Details

NPI number 1932949203
LBN Legal business name Dederich, Douglas Norman
Credentials DDS, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2024
Last updated May 25th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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