DEREK P NGUYEN (NPI# 1114219615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114219615 |
| Entity Type | Individual |
| Full Name | DEREK P NGUYEN |
| Credential | DDS |
| Practice Address |
8016 E Genesee St Fayetteville NY 13066-9692 |
| Mailing Address |
11228 Ne 134th Pl Vancouver WA 98682-2070 |
| Practice Telephone | 3156376961 |
| Practice Fax Number | 3156370169 |
| Mailing Telephone | 3609212187 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2019-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
056306 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 949 Park Ave, New York, NY 100280315 | 2129976453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054095 | Derek Nguyen | Dermatology | 4100 Central Ave, Suite 106, Riverside, CA 92506 | 2005-09-21 |
| 1831709765 | Derek Tri Van Nguyen | Pharmacist | 100 Smith Ranch Rd Fl 2, San Rafael, CA 94903-5552 | 2020-08-05 |
| 1205457074 | Derek Nguyen | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2020-05-02 |
| 1588197560 | Derek Nguyen | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287 | 2017-04-06 |
| 1881091676 | Derek Nguyen | Pharmacist | 1121 124th Ave Ne, Bellevue, WA 98005-2101 | 2014-11-24 |
| 1790954931 | Derek Nguyen | Family Medicine | 1 Washington Sq, New Britain, CT 06051-1848 | 2008-02-21 |
| Street Address |
8016 E GENESEE ST |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-9692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346300209 | Pediatric Dentistry & Interceptive Orthodontics P.C. | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2006-12-11 |
| 1679951537 | Young H Son | Dentist | 8016 E Genesee St, Fayetteville, NY 13066 | 2015-05-12 |
| 1932514072 | Michael Weinstein | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2014-06-27 |
| 1194004499 | Hisako Seignemartin | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2011-08-04 |
| 1104104132 | Hae Jin Kim | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2011-07-25 |
| 1063665016 | Cosmina Olariu Nolan | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2008-11-03 |
| 1144342742 | Jerome Laffer | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2007-04-04 |
| 1639291321 | Edward Robison | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2007-04-04 |
| 1215059803 | Andrew Arcuri | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2007-04-04 |
| 1003938689 | Scott Dillingham | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1508334400 | Smile Shoppe Fayetteville Jeffrey D. Rhodes Dds Ms Pllc | Dentist | 3484 W Wedington Dr, Fayetteville, AR 72704-5730 | 2018-11-08 |
| 1134405848 | Eaglin Dental Group, Fayetteville | Dentist | 692 Glynn St N Ste S, Fayetteville, GA 30214-6705 | 2011-10-26 |
| 1689974362 | Karen Anne Green | Dentist | 1607 E Rainforest Rd, Fayetteville, AR 72703 | 2010-10-27 |
| 1083872915 | Shannitta Latrease Bridgers | Dentist | 1367 Walter Reed Rd, Suite 103, Fayetteville, NC 28304 | 2008-05-28 |
| 1346300209 | Pediatric Dentistry & Interceptive Orthodontics P.C. | Dentist | 8016 E Genesee St, Fayetteville, NY 13066-9692 | 2006-12-11 |
| 1710052279 | Warren Coleman Massey | Dentist | 3089 E Mission Blvd, Fayetteville, AR 72703-4385 | 2006-11-21 |
| 1154401057 | Triplett, Sanders, Tompkins, Smith Pediatric Dentistry | Dentist | 1607 E Rainforest Dr, Fayetteville, AR 72703-5385 | 2006-10-16 |
| 1255422424 | Fred B Dunkelberger | Dentist | 570 W Lanier Avenue, Bldg #2, Fayetteville, GA 30214 | 2006-09-27 |
| 1073537627 | Yvette Mcalister Stokes, Dds, Pa | Dentist | 1770 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-07-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on DEREK P NGUYEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.