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

Derek P Nguyen, DDS

Individual provider Pediatric Dentistry · NPI 1114219615

Derek P Nguyen, DDS is a Pediatric Dentistry in Fayetteville, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

8016 E Genesee St
Fayetteville, NY 13066-9692
Phone: (315) 637-6961
Fax: (315) 637-0169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 949 Park Ave, New York, NY 10028-0315 — (212) 997-6453

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 056306 (NY)

Record details

NPI number1114219615
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 3, 2011
Last updated in NPPESJuly 14, 2019
Mailing address11228 Ne 134th Pl, Vancouver, WA 98682-2070

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