DR. CHARLES PAUL DERMODY DDS NPI 1336203827

NPI Information

NPI: 1336203827
Provider Name: DR. CHARLES PAUL DERMODY, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
274 BARNSTABLE RD
HYANNIS, MA
ZIP 02601
Phone: (508) 771-0500
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DR. Charles Paul Dermody, DDS is an oral and maxillofacial surgery dentist in Hyannis, MA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Charles Paul Dermody, DDS NPI is 1336203827. 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:

274 BARNSTABLE RD
HYANNIS, MA
ZIP 02601-919
Phone: (508) 771-0500

The enumeration date for this NPI number is 12/20/2006 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		033152-1	NEW YORK	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DN1856441	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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