IndividualActive
Gay Derderian, DDS
NPI 1548356702 · Periodontics · Milwaukee, WI
Gay Derderian, DDS is a Periodontics provider in Milwaukee, WI (NPI 1548356702).
Provider details
- NPI number
- 1548356702
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 3370015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 West Wisconsin Ave
Milwaukee, WI 53233
Phone: (414) 288-0788
Fax: (414) 288-0678
Street-level locationGet directions
Mailing address
Po Box 1881
Milwaukee, WI 53201-1881
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gay Derderian's NPI number?
- Gay Derderian's National Provider Identifier (NPI) is 1548356702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gay Derderian's specialty?
- Gay Derderian is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Gay Derderian located?
- Gay Derderian's practice location on file with NPPES is 1801 West Wisconsin Ave, Milwaukee, WI 53233.
- What is Gay Derderian's phone number?
- The practice phone number listed in the NPPES registry for Gay Derderian is (414) 288-0788.
- Is Gay Derderian's NPI active?
- Yes — Gay Derderian's NPI (1548356702) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.