Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Douglas Norman Dederich, DDS, PHD

Individual provider Periodontics · NPI 1932949203

Douglas Norman Dederich, DDS, PHD is a Periodontics in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

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Practice location Address checks out

500 W Silver Spring Dr Ste K250
Glendale, WI 53217-5062
Phone: (414) 963-2301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3322-15 (WI)

Record details

NPI number1932949203
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PHD
Sole proprietorYes
NPI enumeratedMay 25, 2024
Last updated in NPPESMay 25, 2024
Certification dateMay 25, 2024
Mailing address6330 W Greenfield Ave Apt 408, Milwaukee, WI 53214-5073