Individual provider · Type 1 NPI

Brent D. Deragisch, DDS

Dentist · St. Cloud, MN

NPI number 1164643292 Active

Practice location

1500 Northway Drive
St. Cloud, MN 56303

Call (320) 253-7700 Map

Fax (320) 253-9271

Mailing address

PO Box 1659
St. Cloud, MN 56302

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X11953 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1164643292

Brent D. Deragisch, DDS's National Provider Identifier is 1164643292, issued on May 2, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 8, 2007.