Individual provider · Type 1 NPI

Justin Thomas Derk, DMD

Student in an Organized Health Care Education/Training Program · Danville, PA

NPI number 1619811916 Active

Practice location

20 Wesner Ln
Danville, PA 17821-8023

Call (570) 275-6617 Map

Mailing address

142 Butternut Ln
Elysburg, PA 17824-7206

Other practice locations

  • 112 Ironstone Dr Ste B, Northumberland, PA 17857-8543 · (570) 235-2468
  • 2 Utah Dr, Kulpmont, PA 17834-1972 · (570) 373-5563

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619811916

Justin Thomas Derk, DMD's National Provider Identifier is 1619811916, issued on Apr 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danville, PA. The record was last updated on Apr 16, 2026.