DR. Dergham Dergham, DDS is a pediatric dentistry dentist in Lorain, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Dergham Dergham, DDS NPI is 1396022703. 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:
4785 LEAVITT RD
LORAIN, OH
ZIP 44053-136
Phone: (440) 282-6677
The NPI 1396022703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/14/2011 and was last updated on 11/14/2011.