DR. John Peter Derdivanis, DDS is a periodontics dentist in San Lorenzo, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. John Peter Derdivanis, DDS NPI is 1821024902. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
15600 WASHINGTON AVE.STE.E
SAN LORENZO, CA
ZIP 94580
Phone: (510) 276-8366
Fax: (510) 276-1422
The enumeration date for this NPI number is 6/23/2006 and was last updated on 7/8/2007.