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

Deric Nguyen, DDS

Individual provider Dentist · NPI 1164260568

Deric Nguyen, DDS is a Dentist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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.

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Practice location Address checks out

3462 Mendocino Ave
Santa Rosa, CA 95403-2214
Phone: (707) 508-7095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DDS112460 (CA)

Record details

NPI number1164260568
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 18, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

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