DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GEORGII DERYABIN

MEDICARE: GEORGII DERYABIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD15215MN

General Provider Information

NPI Number : 1942003728
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGII DERYABIN
Provider Business Mailing Address
First Line : 2442 MOUNDS VIEW BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55112-1478
Country : US
Telephone Number : 763-316-5412
Fax Number :
Provider Business Practice Location Address
First Line : 2442 MOUNDS VIEW BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55112-1478
Country : US
Telephone Number : 763-316-5412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2025
Last Update Date : 03/28/2025

Similar Medicare Providers

1598756124 — DR. FRANKLIN JAMES STEEN DDS
Practice Location Address:
2442 MOUNDS VIEW BLVD
SAINT PAUL, MN
55112-1478
Practice Phone: 763-316-5400
Practice Fax: 651-644-4499
1386146512 — MS. MADALYN SUZANNE DUPLESSIS DMD
Practice Location Address:
2442 MOUNDS VIEW BLVD
SAINT PAUL, MN
55112-1478
Practice Phone: 763-316-5400
Practice Fax:
1093277592 — DR. QUENTIN KNUTSON DDS
Practice Location Address:
2442 MOUNDS VIEW BLVD
SAINT PAUL, MN
55112-1478
Practice Phone: 763-316-5400
Practice Fax:
1366078917 — MEGHAN WEBER
Practice Location Address:
2442 MOUNDS VIEW BLVD
SAINT PAUL, MN
55112-1478
Practice Phone: 763-316-5400
Practice Fax:
1710636352 — SAVANNAH JOHNSON
Practice Location Address:
2442 MOUNDS VIEW BLVD
SAINT PAUL, MN
55112-1478
Practice Phone: 763-316-5400
Practice Fax:
1386959625 — MRS. JENNIFER ANN HOTFELDER MPT
Practice Location Address:
2 HARBOR BEND CT , SUITE 102
LAKE SAINT LOUIS, MO
63367-1478
Practice Phone: 636-695-2070
Practice Fax:

Directions to “ GEORGII DERYABIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.