Richard E. Derrick, Dmd, PA

NPI #1720140601 in Mendham, New Jersey

Provider Information

NPI Number: 1720140601
Entity Type: Organization
Organization Name: Richard E. Derrick, Dmd, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3 MOUNTAIN AVE
City: Mendham
State: New Jersey
ZIP Code: 07945-1424
Phone: (973) 543-6666

Authorized Official

Name: DR. RICHARD E. DERRICK, DMD
Title: DENTIST
Phone: (973) 543-6666

Specialties & Taxonomy Codes

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

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