Doctor Name: | DR. GRAHAM MICHAEL DERSLEY |
NPI Number: | 1427229780 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S., M.S. |
License Number: | 14033 |
Business Practice Address: | 3905 National Dr Suite 260 Burtonsville, MD - 208661100 |
Business Phone Number: | 3014211996 |
Business Fax Number: | 2404554922 |
Mailing Address: | 3905 National Dr, Suite 260 BURTONSVILLE |
State: | MD |
Postal Code: | 208661100 |
Phone Number: | 3014211996 |
Fax Number: | 2404554922 |
NPI Enumeration Date: | 03/14/2008 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 14033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |