Dery, Deiadre A

Dery, Deiadre A is an individual health care provider with primary practice located at 962 1St Infatry Division Rd Jordan Dental Clinic Bldg 2724, Fort Knox KY 40121-5210. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Dery, Deiadre A can be contacted via phone (502) 626-8301.

Contact Information

Primary practice address
962 1St Infatry Division Rd Jordan Dental Clinic Bldg 2724 Fort Knox KY 40121-5210
Phone: (502) 626-8301
Fax: (502) 626-8300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1548610702
LBN Legal business name Dery, Deiadre A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Jun 20th, 2016 - about 9 years 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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