Dye, Derry Dean

Dye, Derry Dean is an individual health care provider with primary practice located at 225 Physicians Park Ste 400 , Poplar Bluff MO 63901-3923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Dye, Derry Dean can be contacted via phone (573) 727-5500.

Contact Information

Primary practice address
225 Physicians Park Ste 400 Poplar Bluff MO 63901-3923
Fax: (573) 727-5599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X R5G11 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R5G11 Missouri

Profile Details

NPI number 1215949599
LBN Legal business name Dye, Derry Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 9th, 2023 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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All States NPI 1215949599 NPPES
Missouri MEDICAID 202400024

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