Doctor profile · Federal record
Dr. Brent Deragisch, DDS
Dentist · St Cloud, MN
- NPI 1164643292
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 Northway Drive
St Cloud, MN 56303
(320) 253-7700
fax (320) 253-9271 - Mailing address
-
Po Box 1659
St Cloud, MN 56302
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Minnesota #11953
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164643292. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$13
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $13.15 |
By nature of payment
Frequently asked questions
What is Dr. Brent Deragisch's medical specialty?
Dr. Brent Deragisch practices Dentist in St Cloud, MN.
Where does Dr. Brent Deragisch practice?
Dr. Brent Deragisch practices at 1500 Northway Drive, St Cloud, MN 56303. Office phone: 3202537700.
What is Dr. Brent Deragisch's NPI?
Dr. Brent Deragisch's National Provider Identifier (NPI) is 1164643292, issued by NPPES.