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Dr. Dergham Dergham, DDS
Pediatric Dentist in Lorain, Ohio
NPI 1396022703

Dergham Dergham is a Pediatric Dentist based in Lorain, OH and is specialized in Pediatric Dentistry. Dergham Dergham practices in Lorain, OH and has the professional credentials of DDS. The NPI Number for Dergham Dergham is 1396022703 and holds a License No. 30-023579 (Ohio).

The current practice location address for Dergham Dergham is 4785 Leavitt Rd, Lorain, OH and can be reached out via phone at 440-282-6677. You can also correspond with Dergham Dergham through the mailing address at 4785 LEAVITT ROAD, LORAIN, OH - 44053 (mailing address contact number: 440-282-6677).

Location: 4785 Leavitt Rd, Lorain, OH, 44053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396022703
Provider Name
Dergham Dergham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4785 Leavitt Rd, Lorain, OH, 44053
Phone Number
440-282-6677
Fax Number
Provider Enumeration Date
11/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4785 Leavitt Rd
City
Lorain
State
Ohio
Zip
44053-2136
Phone Number
440-282-6677
Fax Number
person
Provider Business Mailing Address Details
Address
4785 Leavitt Rd
City
Lorain
State
Ohio
Zip
44053-2136
Phone Number
440-282-6677
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30-023579 (Ohio)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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