Active NPIIndividual providerSole proprietor

Dr. Charles P Dermody, DDS

Dentist, Oral and Maxillofacial Surgery in Hyannis, Massachusetts

NPI Number1336203827
Practice location
274 Barnstable RD, Hyannis, MA 02601-2919
Fax
—
Last updated
September 8, 2023

Charles Paul Dermody is a Dentist, Oral and Maxillofacial Surgery based in Hyannis, MA. Charles Paul Dermody practices in Hyannis, MA and has the professional credentials of DDS. The NPI Number for Charles Paul Dermody is 1336203827 and holds a License No. 033152-1 (NY). The current practice location address for Charles Paul Dermody is 274 Barnstable RD, Hyannis, MA 02601-2919 and can be reached out via phone at 508-771-0500.

Provider Profile Details

NPI Number
1336203827
Provider Name
Charles Paul Dermody
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
274 Barnstable RD, Hyannis, MA 02601-2919
Phone Number
508-771-0500
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
December 20, 2006
Last Update Date
September 8, 2023
Certification Date
September 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
274 Barnstable RD
Hyannis, MA 02601-2919
Zip
02601-2919
Phone Number
508-771-0500
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
Po Box 7309
Siasconset, MA 02564-7309
City
Siasconset
State
MA
Zip
02564-7309
Phone Number
845-264-1361

License Information

License Number (1)
033152-1
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN1856441
License State (2)
MA
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles P Dermody, DDS?

The NPI number of Dr. Charles P Dermody, DDS is 1336203827. It was assigned on December 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles P Dermody, DDS?

Dr. Charles P Dermody, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NY under license number 033152-1.

Where does Dr. Charles P Dermody, DDS practice?

The practice location is 274 Barnstable RD, Hyannis, MA 02601-2919. The office can be reached at 508-771-0500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336203827 directly on the NPPES registry website.

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