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DR. ANTHONY CHARLES DERRICK DDS
NPI 1194764027
Dentist in Longwood, FL

Active since June 06, 2006
2633 W STATE ROAD 434, LONGWOOD, FL 32779(407) 788-8400(407) 682-4659 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony Charles Derrick Dds NPPES

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

DR. ANTHONY CHARLES DERRICK DDS (NPI 1194764027) is an individual dentist in Longwood, Florida, licensed in Florida (0005472) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1194764027
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANTHONY CHARLES DERRICKCredential: DDS
Location Address2633 W STATE ROAD 434Longwood, FL 32779-4878
Mailing Address2633 W State Road 434Longwood, FL 32779-4878 · (407) 788-8400 · Fax (407) 682-4659
Phone(407) 788-8400
Fax(407) 682-4659
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateApril 9, 2009
✔ NPI 1194764027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 0005472
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2633 W STATE ROAD 434, Longwood, FL 32779
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES

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

TRUE VINE DENTAL CARE
Clinic/Center (Dental)
2633 W STATE ROAD 434
LONGWOOD, FL 32779
Seminole County (602) 481-0153

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 Anthony Derrick's NPI number?

The NPI number for Anthony Derrick is 1194764027. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Anthony Derrick located?

Anthony Derrick practices at 2633 W State Road 434, Longwood, FL 32779. The listed phone number is (407) 788-8400.

What is Anthony Derrick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Anthony Derrick accept?

Health plans from Humana list Anthony Derrick 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 Anthony Derrick was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.