| Dr Gregory Lee Derry, DDS | |
|
75 E Birch St, Canton, IL 61520-1300 | |
| (309) 647-2244 | |
| (309) 647-8829 |
| Full Name | Dr Gregory Lee Derry |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 75 E Birch St, Canton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518976976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1916236 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Lee Derry, DDS 75 E Birch St, Canton, IL 61520-1300 Ph: (309) 647-2244 | Dr Gregory Lee Derry, DDS 75 E Birch St, Canton, IL 61520-1300 Ph: (309) 647-2244 |
Jamie Pieper, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 75 E Birch St, Canton, IL 61520 Phone: 309-647-2244 | |
Gary R Herberger, DDS Dentist Medicare: Medicare Enrolled Practice Location: 336 N Main, Canton, IL 61520 Phone: 309-647-3331 Fax: 309-649-5439 | |
Dr. Aaron James Thum, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 336 N Main St, Canton, IL 61520 Phone: 309-647-3331 | |
Mrs. Graciela Grammer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 E Oak St, Canton, IL 61520 Phone: 309-647-1134 Fax: 309-647-9545 |