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

Justin Thomas Derk, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619811916

Justin Thomas Derk, DMD is a Student in an Organized Health Care Education/Training Program in Danville, Pennsylvania. Works from 3 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

20 Wesner Ln
Danville, PA 17821-8023
Phone: (570) 275-6617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Utah Dr, Kulpmont, PA 17834-1972 — (570) 373-5563
  • 112 Ironstone Dr Ste B, Northumberland, PA 17857-8543 — (570) 235-2468

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (PA)

Record details

NPI number1619811916
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address142 Butternut Ln, Elysburg, PA 17824-7206

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