Gregory Lee Derry, D.D.S.
General Practice Dentistry · Canton, IL
Practice location
75 E Birch StCanton, IL 61520-1300
- Phone
- (309) 647-2244
- Fax
- (309) 647-8829
NPI record
- NPI
- 1518976976
- Entity type
- Individual (Type 1)
- Enumeration date
- August 5, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
1916236 | IL |
About Dr. Derry
Gregory Lee Derry, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 75 E Birch St, Canton, IL 61520-1300. The NPI number 1518976976 was assigned on August 5, 2006 and the record was last updated on July 8, 2007.
Dr. Derry lists a license in the registry: #1916236 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gregory Lee Derry, D.D.S.?
The NPI number is 1518976976.
What is the phone number of Dr. Derry?
The phone number listed for the practice location is (309) 647-2244.
Where is Dr. Derry located?
75 E Birch St, Canton, IL 61520-1300.
What is the taxonomy code for Dr. Derry?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Canton
- Gary R. Herberger, DDS336 N Main
- Dr. Gregory Lee Derry D.D.S. LTD75 E Birch St