person
Derek Nobrega, DMD
Pediatric Dentist in Providence, Rhode Island
NPI 1871858233

Derek Nobrega is a Pediatric Dentist based in Providence, RI and is specialized in Pediatric Dentistry. Derek Nobrega practices in Providence, RI and has the professional credentials of DMD. The NPI Number for Derek Nobrega is 1871858233 and holds a License No. LD00081 (Rhode Island).

The current practice location address for Derek Nobrega is 21 Peace St, Providence, RI and can be reached out via phone at 401-456-4461 and via fax at 401-456-4420.

Location: 21 Peace St, Providence, RI, 02908-4728
person
Provider Profile Details
NPI Number
1871858233
Provider Name
Derek Nobrega
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
21 Peace St, Providence, RI, 02908-4728
Phone Number
401-456-4461
Fax Number
401-456-4420
Provider Enumeration Date
07/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LD00081 01 RI LICENSE
institution
Provider Business Practice Location Address Details
Address
21 Peace St
City
State
Zip
02907-1510
Phone Number
401-456-4461
Fax Number
401-456-4420
person
Provider Business Mailing Address Details
Address
21 Peace St
City
State
Zip
02907-1510
Phone Number
401-456-4461
Fax Number
401-456-4420
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
LD00081 (Rhode Island)
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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