Individual
DR. CHARLES PAUL DERMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
274 BARNSTABLE RD, HYANNIS, MA 02601-2919
(508) 771-0500
Mailing address
PO BOX 7309, SIASCONSET, MA 02564-7309
(845) 264-1361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
033152-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856441
MA
Other
Enumeration date
12/20/2006
Last updated
09/08/2023
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