Active NPIOrganization

Richard E. Derrick, DMD, PA

Dentist, General Practice in Mendham, New Jersey

NPI Number1720140601
Practice location
3 Mountain Ave, Mendham, NJ 07945-1424
Fax
973-543-5702
Last updated
August 22, 2020

Richard E. Derrick, DMD, PA is a healthcare organization based in Mendham, NJ. Richard E. Derrick, DMD, PA practices in Mendham, NJ. The NPI Number for Richard E. Derrick, DMD, PA is 1720140601 and holds a License No. 22DI00808700 (NJ). The current practice location address for Richard E. Derrick, DMD, PA is 3 Mountain Ave, Mendham, NJ 07945-1424 and can be reached out via phone at 973-543-6666 and via fax at 973-543-5702.

Provider Profile Details

NPI Number
1720140601
Provider Name
Richard E. Derrick, DMD, PA
Provider Entity Type
Organization
Address
3 Mountain Ave, Mendham, NJ 07945-1424
Phone Number
973-543-6666
Fax Number
973-543-5702
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Richard E. Derrick, DMD · Dentist · 973-543-6666
Provider Enumeration Date
December 15, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Mountain Ave
Mendham, NJ 07945-1424
Zip
07945-1424
Phone Number
973-543-6666
Fax Number
973-543-5702
Mendham, NJ 07945Get directions →

Provider Business Mailing Address Details

Address
3 Mountain Ave
Mendham, NJ 07945-1424
City
Mendham
State
NJ
Zip
07945-1424
Phone Number
973-543-6666
Fax Number
973-543-5702

License Information

License Number
22DI00808700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richard E. Derrick, DMD, PA?

The NPI number of Richard E. Derrick, DMD, PA is 1720140601. It was assigned on December 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Richard E. Derrick, DMD, PA?

Richard E. Derrick, DMD, PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI00808700.

Where does Richard E. Derrick, DMD, PA practice?

The practice location is 3 Mountain Ave, Mendham, NJ 07945-1424. The office can be reached at 973-543-6666 (phone) or 973-543-5702 (fax).

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 1720140601 directly on the NPPES registry website.

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