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DEREK P NGUYEN DDS
NPI 1114219615
Dentist - Pediatric Dentistry in Fayetteville, NY

Active since May 03, 2011
8016 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 637-6961(315) 637-0169 Get Directions Write a Review

NPPES record last updated: July 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2019, Nov 27, 2016, Jun 22, 2016 (3 updates tracked since 2016).

About Derek P Nguyen Dds NPPES

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

DEREK P NGUYEN DDS (NPI 1114219615) is an individual pediatric dentistry provider in Fayetteville, New York, licensed in New York (056306) and active in the NPI registry since May 2011. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1114219615
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDEREK P NGUYENCredential: DDS
Location Address8016 E GENESEE STFayetteville, NY 13066-9692
Mailing Address11228 Ne 134th PlVancouver, WA 98682-2070 · (360) 921-2187
Phone(315) 637-6961
Fax(315) 637-0169
Sole ProprietorNo
Enumeration DateMay 3, 2011
Last NPPES UpdateJuly 14, 20193 updates tracked since enumeration
✔ NPI 1114219615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NY · 056306
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
8016 E GENESEE ST, Fayetteville, NY 13066
Open in Google Maps ↗

Secondary Practice Location 1

Location 1949 Park AveNew York, NY 10028-0315 · Phone (212) 997-6453

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

DR. SCOTT DILLINGHAM D.D.S.
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-6961
DR. COSMINA OLARIU NOLAN DDS
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-6961
DR. JEROME LAFFER D.M.D.
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-6961
HISAKO SEIGNEMARTIN D.D.S.
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-6961
PEDIATRIC DENTISTRY & INTERCEPTIVE ORTHODONTICS P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-6961
PLAYFUL PATHWAYS OCCUPATIONAL THERAPY PLLC
Clinic/Center (Health Service)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 456-8260
DR. EDWARD ROBISON D.D.S.
Dentist (Pediatric Dentistry)
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-6961
DR. JONELLE R LAFIAN ND
Naturopath
8016 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (607) 373-9494

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 Derek Nguyen's NPI number?

The NPI number for Derek Nguyen is 1114219615. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Derek Nguyen located?

Derek Nguyen practices at 8016 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 637-6961.

What is Derek Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Derek Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Derek Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Nguyen was last updated on July 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.