NPI 1548610702
Deiadre a Dery
Practice location
- Address
- 962 1st Infatry Division Rd Jordan Dental Clinic Bldg 2724, Fort Knox, KY 40121-5210
- Phone
- (502) 626-8301
- Fax
- (502) 626-8300
- Mailing address
- 398 192nd Armored Tank Bn Rd USA Dentac Headquarters Bldg 1022, Fort Knox, KY 40121-5116
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1548610702
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jun 2016
- Record last updated
- 20 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.