DR. Gregory Lee Derry, D.D.S.

NPI #1518976976 in Canton, Illinois

Provider Information

NPI Number: 1518976976
Entity Type: Individual
Name: DR. Gregory Lee Derry, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 75 E BIRCH ST
City: Canton
State: Illinois
ZIP Code: 61520-1300
Phone: (309) 647-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Dr. Gregory Lee Derry D.d.s. Ltd	Dentist - General Practice	Canton	AI Deep Dive

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