Douglas Norman Dederich, DDS, PHD
Periodontics · Glendale, WI
Douglas Norman Dederich, DDS, PHD is a periodontics with a practice address in Glendale, Wisconsin, and NPI 1932949203, issued on May 25, 2024. Check the license (Wisconsin 3322-15, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Douglas Norman Dederich
- Credential
- DDS, PHD
- Primary taxonomy
- Periodontics 1223P0300X
- License number
- 3322-15 WI
Self-reported in NPPES; status is on the state search - Practice location
- 500 W Silver Spring Dr Ste K250, Glendale, WI 53217
- Phone
- (414) 963-2301
- Enumerated
- May 25, 2024
- Record last updated
- May 25, 2024
- Entity
- Type 1 · individual
8 nearest periodontics records → All 69 in Wisconsin → Look up another NPI →
Verify Douglas Norman Dederich in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 3322-15Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $34.65
1 payment: food and beverage; the largest payer was Straumann USA LLC. The 2,966 providers of this specialty with any payment received $1,338.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Douglas Norman Dederich among 69 periodontics records in Wisconsin
Douglas Norman Dederich, DDS, PHD is one of 69 periodontics records with a practice address in Wisconsin. 54% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 93% of them.
- NPI issued2024 · 93% of these records are older, 4% newer
- In a Medicare fileYes · 54% of these records are
- In the CMS Doctors and Clinicians fileNo · 0% of these records are
- Record last updated2024 · 78% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0300X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Periodontics providers in Wisconsin
There are 69 periodontics records in Wisconsin.
All 69 in Wisconsin → Every provider in Glendale → Periodontics nationwide →
The 8 periodontics records with the nearest ZIP codes
- Nancy Barnett, DDS, MSMilwaukee, WI 532171912093386
- Joshua Hassan, D.M.DWest Milwaukee, WI 532191184084055
- Andrew Dentino, DDS, PHDWest Allis, WI 532141871693747
- Eddie Morales, DDSGreenfield, WI 532211265743488
- Constantine Stamatelakys, DDSGreenfield, WI 532211235132192
- Denise ShihMilwaukee, WI 532111891903043
- Renita Burrell, DDSMilwaukee, WI 532261326248881
- Craig Byers, DDSWauwatosa, WI 532261285937557
Common questions
What is Douglas Norman Dederich, DDS, PHD's NPI number?
Douglas Norman Dederich, DDS, PHD's National Provider Identifier (NPI) is 1932949203, issued on May 25, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Douglas Norman Dederich, DDS, PHD located?
The NPPES record lists a practice address at 500 W Silver Spring Dr Ste K250, Glendale, WI, 53217. Phone: (414) 963-2301. Providers update this record themselves, so call before visiting.
How can I verify Douglas Norman Dederich, DDS, PHD's license?
NPPES lists Wisconsin license number 3322-15, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.