Douglas Dederich, DDS, PHD

NPI 1932949203 · on the registry since 2024 · sole proprietor

Practice

Address: 500 W Silver Spring Dr Ste K250
Glendale, WI 53217
Phone: (414) 963-2301
Organisation at this address: Babynme Llc
Mass Medical Inc
Myc Holdings Llc
Sds Health Care Inc
Envision Health Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 1223P0300X
1223P0300X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin