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

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.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Danville, PA

No coordinates on file. Search this address in Google Maps

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

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