Doctor profile · Federal record
Dr. Douglas Dederich, DDS, PHD
Periodontist · Glendale, WI
- NPI 1932949203
- 2 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
500 W Silver Spring Dr Ste K250
Glendale, WI 532175062
(414) 963-2301 - Mailing address
-
6330 W Greenfield Ave Apt 408
Milwaukee, WI 532145073
Credentials & registration
- NPI registered
- May 2024 — 2 yrs on file
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Wisconsin #3322-15
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1932949203. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $34.65 |
By nature of payment
Frequently asked questions
What is Dr. Douglas Dederich's medical specialty?
Dr. Douglas Dederich practices Periodontist in Glendale, WI.
Where does Dr. Douglas Dederich practice?
Dr. Douglas Dederich practices at 500 W Silver Spring Dr Ste K250, Glendale, WI 532175062. Office phone: 4149632301.
What is Dr. Douglas Dederich's NPI?
Dr. Douglas Dederich's National Provider Identifier (NPI) is 1932949203, issued by NPPES.