Individual provider · Type 1 NPI

Derek P. Nguyen, DDS

Pediatric Dentistry · Fayetteville, NY

NPI number 1114219615 Active

Practice location

8016 E Genesee St
Fayetteville, NY 13066-9692

Call (315) 637-6961 Map

Fax (315) 637-0169

Mailing address

11228 NE 134th Pl
Vancouver, WA 98682-2070

Other practice locations

949 Park Ave, New York, NY 10028-0315 · (212) 997-6453

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	056306 (NY)

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.

9 other providers at this address

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About NPI 1114219615

Derek P. Nguyen, DDS's National Provider Identifier is 1114219615, issued on May 3, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fayetteville, NY. The record was last updated on Jul 14, 2019.