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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JENNIFER L DERSE DDS
NPI 1063470268
Dentist - General Practice in Scottsdale, AZ

Active since May 04, 2006
10630 N SCOTTSDALE RD, SCOTTSDALE, AZ 85254(480) 948-3680(480) 948-0711 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer L Derse Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER L DERSE DDS (NPI 1063470268) is an individual general practice provider in Scottsdale, Arizona, licensed in Arizona (6701) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1063470268
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER L DERSECredential: DDS
Location Address10630 N SCOTTSDALE RDScottsdale, AZ 85254
Mailing Address10630 N Scottsdale RdScottsdale, AZ 85254 · (480) 948-3680 · Fax (480) 948-0711
Phone(480) 948-3680
Fax(480) 948-0711
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063470268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 6701
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10630 N SCOTTSDALE RD, Scottsdale, AZ 85254
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGG ROHNER R.D.H.
Dental Hygienist
10630 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254
Maricopa County (480) 948-3680
MR. PAUL DEAN DOUGLAS DDS
Dentist (General Practice)
10630 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254
Maricopa County (480) 948-3680
MS. KATHY LYNN WATERS RDH
Dentist (General Practice)
10630 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254
Maricopa County (480) 948-3680
PAUL D. DOUGLAS, DDS, PC
Dentist (General Practice)
10630 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254
Maricopa County (480) 948-3680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Derse's NPI number?

The NPI number for Jennifer Derse is 1063470268. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Jennifer Derse located?

Jennifer Derse practices at 10630 N Scottsdale Rd, Scottsdale, AZ 85254. The listed phone number is (480) 948-3680.

What is Jennifer Derse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jennifer Derse was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.