Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PEDAR BRADEN DIDRIKSEN, DDS
Active Sole ProprietorDR. PEDAR BRADEN DIDRIKSEN, DDS is a Dentist healthcare provider located in BERLIN, Maryland. NPI 1093890436 is currently active in the NPPES registry. Verify at CMS.
Dentist · BERLIN, MD
Registration Details
- NPI Number
- 1093890436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2006 (19.813489109732 yrs)
- Last Updated
- Mar 22, 2019
- License
-
7825 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11310 MANKLIN CREEK RD UNIT 5BERLIN, MD, 218114013Browse MD providers · Browse ZIP 21811
- Phone
- 4102082900
- Fax
- 4102083285
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BERLIN, MD
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN FRANKLIN KNIGHT | DDS | 1376789479 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.