Derrick G Tengco, DMD
Dentist in Lawrence, Massachusetts
1134601669- Practice location
- 314 Essex St, Lawrence, MA 01840-1411
- Phone
- 605-714-5114
- Fax
- —
- Last updated
- August 31, 2018
Derrick Glen Tengco is a Dentist based in Lawrence, MA. Derrick Glen Tengco practices in Lawrence, MA and has the professional credentials of DMD. The NPI Number for Derrick Glen Tengco is 1134601669 and holds a License No. DN1858105 (MA). The current practice location address for Derrick Glen Tengco is 314 Essex St, Lawrence, MA 01840-1411 and can be reached out via phone at 605-714-5114.
Provider Profile Details
- NPI Number
- 1134601669
- Provider Name
- Derrick Glen Tengco
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 314 Essex St, Lawrence, MA 01840-1411
- Phone Number
- 605-714-5114
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 31, 2018
- Last Update Date
- August 31, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 314 Essex St
Lawrence, MA 01840-1411 - City
- Lawrence
- State
- Massachusetts
- Zip
- 01840-1411
- Phone Number
- 605-714-5114
Provider Business Mailing Address Details
- Address
- 1 Nassau St Apt 909
Boston, MA 02111-1554 - City
- Boston
- State
- MA
- Zip
- 02111-1554
- Phone Number
- 609-658-3233
License Information
- License Number
- DN1858105
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Lawrence, MA
View all Dentists in Lawrence →Frequently Asked Questions
What is the NPI number of Derrick G Tengco, DMD?
The NPI number of Derrick G Tengco, DMD is 1134601669. It was assigned on August 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Derrick G Tengco, DMD?
Derrick G Tengco, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1858105.
Where does Derrick G Tengco, DMD practice?
The practice location is 314 Essex St, Lawrence, MA 01840-1411. The office can be reached at 605-714-5114 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134601669 directly on the NPPES registry website.