Dr. John Peter Derdivanis is a San Lorenzo, California based Periodontics who is specialized in Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. John Peter Derdivanis is 15206 for Periodontology in California. His current practice location is 15600 Washington Ave.ste.e, San Lorenzo. Patients can reach him at 510-276-8366.
Dr. John Peter Derdivanis is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Dr. John Peter Derdivanis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. John Peter Derdivanis
Specialization:
Periodontics
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
15600 Washington Ave.ste.e, San Lorenzo, California, 94580
Phone:
510-276-8366
Fax:
510-276-1422
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821024902
NPI Enumeration Date:
23 Jun, 2006
NPI Last Update On:
27 Oct, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Peter Derdivanis are as mentioned below.
License Number
Specialization
State
Status
15206
Periodontology
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15600 Washington Ave.ste.e, San Lorenzo, California
Zip:
94580
Phone Number:
510-276-8366
Fax Number:
510-276-1422
Patients can reach Dr. John Peter Derdivanis at 15600 Washington Ave.ste.e, San Lorenzo, California or can call to book an appointment on 510-276-8366. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.