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Derek P Nguyen, DDS
Pediatric Dentist in Fayetteville, New York
NPI 1114219615

Derek P Nguyen is a Pediatric Dentist based in Vancouver, NY and is specialized in Pediatric Dentistry. Derek P Nguyen practices in Fayetteville, NY and has the professional credentials of DDS. The NPI Number for Derek P Nguyen is 1114219615 and holds a License No. 056306 (New York).

The current practice location address for Derek P Nguyen is 8016 E Genesee St, Fayetteville, NY and can be reached out via phone at 315-637-6961 and via fax at 315-637-0169.

Location: 8016 E Genesee St, Fayetteville, NY, 98682-2070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114219615
Provider Name
Derek P Nguyen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8016 E Genesee St, Fayetteville, NY, 98682-2070
Phone Number
315-637-6961
Fax Number
315-637-0169
Provider Enumeration Date
05/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8016 E Genesee St
City
Fayetteville
State
New York
Zip
13066-9692
Phone Number
315-637-6961
Fax Number
315-637-0169
person
Provider Business Mailing Address Details
Address
8016 E Genesee St
City
Fayetteville
State
New York
Zip
13066-9692
Phone Number
315-637-6961
Fax Number
315-637-0169
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
056306 (New York)
Definition
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.
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