| Richard E. Derrick, Dmd, Pa | |
|
3 Mountain Ave Mendham NJ 07945-1424 | |
| (973) 543-6666 | |
| (973) 543-5702 |
| Full Name | Richard E. Derrick, Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3 Mountain Ave, Mendham, New Jersey |
| Authorized Official Name and Position | Richard E. Derrick (DENTIST) |
| Authorized Official Contact | 9735436666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E. Derrick, Dmd, Pa 3 Mountain Ave Mendham NJ 07945-1424 Ph: (973) 543-6666 | Richard E. Derrick, Dmd, Pa 3 Mountain Ave Mendham NJ 07945-1424 Ph: (973) 543-6666 |
| NPI Number | 1720140601 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720140601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI00808700 (New Jersey) | Primary |