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DR. DERICK JACK SOVEREIGN DMD
NPI 1245073287
Dentist in Wasilla, AK

Active since June 17, 2024
3765 E BLUE LUPINE DR STE A, WASILLA, AK 99654(480) 341-0791 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derick Jack Sovereign Dmd NPPES

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

DR. DERICK JACK SOVEREIGN DMD (NPI 1245073287) is an individual dentist in Wasilla, Alaska, licensed in Alaska (224623) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1245073287
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DERICK JACK SOVEREIGNCredential: DMD
Location Address3765 E BLUE LUPINE DR STE AWasilla, AK 99654-8417
Mailing Address3765 E Blue Lupine Dr Ste AWasilla, AK 99654-8417 · (480) 341-0791
Phone(480) 341-0791
Sole ProprietorYes
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1245073287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AK · 224623
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.
3765 E BLUE LUPINE DR STE A, Wasilla, AK 99654
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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 ›

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 Derick Sovereign's NPI number?

The NPI number for Derick Sovereign is 1245073287. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Derick Sovereign located?

Derick Sovereign practices at 3765 E Blue Lupine Dr Ste A, Wasilla, AK 99654. The listed phone number is (480) 341-0791.

What is Derick Sovereign's specialty?

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

What insurance does Derick Sovereign 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 9 other insurers list Derick Sovereign 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 Derick Sovereign was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.