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DR. GREGORY LEE DERRY D.D.S. LTD
NPI 1952580094
Dentist - General Practice in Canton, IL

Active since October 25, 2007
75 E BIRCH ST, CANTON, IL 61520(309) 647-2244 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Lee Derry D.d.s. Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY LEE DERRY D.D.S. LTD (NPI 1952580094) is a healthcare organization registered as a general practice in Canton, Illinois and active in the NPI registry since October 2007. The organization lists Gregory Lee Derry, Owner, as its authorized official.

NPPES Registry Identity

NPI1952580094
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. GREGORY LEE DERRY D.D.S. LTD
Location Address75 E BIRCH STCanton, IL 61520-1300
Mailing Address75 E Birch StCanton, IL 61520-1300 · (309) 647-2244
Phone(309) 647-2244
Organization SubpartNo
Authorized OfficialGregory Lee DerryOwner · (309) 647-2244
Enumeration DateOctober 25, 2007
✔ NPI 1952580094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 1916263
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
75 E BIRCH ST, Canton, IL 61520
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE PIEPER DDS
Dentist
75 E BIRCH ST
CANTON, IL 61520
Fulton County (309) 647-2244
MOHAMED ELSADEK
Dentist
75 E BIRCH ST
CANTON, IL 61520
Fulton County (773) 668-7611
DR. GREGORY LEE DERRY D.D.S.
Dentist (General Practice)
75 E BIRCH ST
CANTON, IL 61520
Fulton County (309) 647-2244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Gregory Lee Derry D.D.S. Ltd's NPI number?

The NPI number for Dr. Gregory Lee Derry D.D.S. Ltd is 1952580094. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Dr. Gregory Lee Derry D.D.S. Ltd located?

Dr. Gregory Lee Derry D.D.S. Ltd is located at 75 E Birch St, Canton, IL 61520. The listed phone number is (309) 647-2244.

What is Dr. Gregory Lee Derry D.D.S. Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. Gregory Lee Derry D.D.S. Ltd was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.