Nguyen, Derek P

Nguyen, Derek P is an individual health care provider with primary practice located at 8016 E Genesee St , Fayetteville NY 13066-9692. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Nguyen, Derek P can be contacted via phone (315) 637-6961.

Contact Information

Primary practice address
8016 E Genesee St Fayetteville NY 13066-9692
Phone: (315) 637-6961
Fax: (315) 637-0169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 056306 New York

Profile Details

NPI number 1114219615
LBN Legal business name Nguyen, Derek P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2011
Last updated Jul 14th, 2019 - about 5 years 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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