IndividualActive
Derek Hiam, DDS
NPI 1396223087 · General Practice Dentistry · Lisbon, ND
Provider details
- NPI number
- 1396223087
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2350 (ND)
Specialties & taxonomies
Dental Providers
Practice location
513 Main St
Lisbon, ND 58054-4145
Phone: (701) 308-0151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 44
Lisbon, ND 58054-0044
Registry dates
- Enumerated
- 2018-08-03
- Last updated
- 2018-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.