GAY DERDERIAN, DDS

Periodontics · MILWAUKEE, WI

Individual Active Opted out of Medicare NPI 1548356702

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Periodontics1223P0300X3370015WI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2016-06-21 through 2028-06-21.

Other Periodontics providers in Wisconsin

See all Periodontics providers in Wisconsin

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

GAY DERDERIAN, DDS — NPI 1548356702