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

Derek P Nguyen, DDS

Individual provider Pediatric Dentistry · NPI 1114219615

Derek P Nguyen, DDS is a Pediatric Dentistry in Fayetteville, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
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.

See every abbreviation used in this directory →

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Practice location Address checks out

8016 E Genesee St
Fayetteville, NY 13066-9692
Phone: (315) 637-6961
Fax: (315) 637-0169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 949 Park Ave, New York, NY 10028-0315 — (212) 997-6453

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 056306 (NY)

Record details

NPI number1114219615
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 3, 2011
Last updated in NPPESJuly 14, 2019

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