Douglas N. Dederich, DDS, PHD
Periodontics · Glendale, WI
UnclaimedDDS, PHDNPI 1932949203
- Primary taxonomy
- 1223P0300X
- Enumerated
- 2024-05-25
- Practice location
- Glendale, WI
- Last NPPES update
- 2024-05-25
State licenses
- WI · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.