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

Dr. Timothy J Deruyter, DDS

Individual provider General Practice Dentistry · NPI 1487810800

Dr. Timothy J Deruyter, DDS is a General Practice Dentistry in Goldsboro, North Carolina. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
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

1050 Jabara Ave Seymour Johnson Afb
Goldsboro, NC 27531-2310
Phone: (919) 722-1933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS037574 (PA)

Record details

NPI number1487810800
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 5, 2008
Last updated in NPPESAugust 5, 2008

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