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Dergham Dergham, DDS — NPI 1396022703, Lorain, OH | NPI Central

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NPI 1396022703

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Dergham Dergham, DDS

NPI 1396022703 · Pediatric Dentistry · Lorain, OH

Provider details

NPI number: 1396022703
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 30-023579 (OH)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 30-023579 (OH)
Dental Providers

Practice location

4785 Leavitt Rd

Lorain, OH 44053-2136

Phone: (440) 282-6677

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

4785 Leavitt Road

Lorain, OH 44053

Registry dates

Enumerated: 2011-11-14
Last updated: 2011-11-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.