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

Samantha Katherine Deridder, DDS

Individual provider Dentist · NPI 1619559655

Samantha Katherine Deridder, DDS is a Dentist in Nevada City, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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

216 S Pine St
Nevada City, CA 95959-2720
Phone: (530) 265-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 107758 (CA)

Record details

NPI number1619559655
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022

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