DR. Gay M Derderian, DDS is a periodontics dentist in Milwaukee, WI. 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. Gay M Derderian, DDS NPI is 1548356702. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1801 WEST WISCONSIN AVE
MILWAUKEE, WI
ZIP 53233
Phone: (414) 288-0788
Fax: (414) 288-0678
The NPI 1548356702 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 10/5/2006 and was last updated on 7/8/2007.