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

Samuel Derner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417887381

Samuel Derner is a Student in an Organized Health Care Education/Training Program in Sioux Falls, South Dakota. Licensed in Nebraska and South Dakota. Registered with an NPI since 2026.

Licensed in
NE, SD
In the registry since
2026
Specialties on file
2

Practice location Address checks out

4501 E 41st St
Sioux Falls, SD 57110-7200
Phone: (605) 339-1369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D1534 (SD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NE)

Record details

NPI number1417887381
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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