Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Derisse, DMD

Individual provider Dentist · NPI 1396958146

David Derisse, DMD is a Dentist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

129 Wadsworth Ave Apt 3
New York, NY 10033-4831
Phone: (212) 923-0505
Fax: (212) 568-5960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 051680 (NY)

Record details

NPI number1396958146
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007

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