NANCY DERHAM DENTAL CORPORATION
NPI 1255502522
Dentist - General Practice in Novato, CA

Active since March 14, 2008
1805 NOVATO BLVD, #6, NOVATO, CA 94947(415) 892-4721(415) 892-5921 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nancy Derham Dental Corporation NPPES

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

NANCY DERHAM DENTAL CORPORATION (NPI 1255502522) is a healthcare organization registered as a general practice in Novato, California and active in the NPI registry since March 2008. The organization lists Nancy Derham, President, as its authorized official.

NPPES Registry Identity

NPI1255502522
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNANCY DERHAM DENTAL CORPORATION
Location Address1805 NOVATO BLVD, #6Novato, CA 94947-2934
Mailing Address1805 Novato Blvd, #6Novato, CA 94947-2934 · (415) 892-4721 · Fax (415) 892-5921
Fax(415) 892-5921
Organization SubpartNo
Authorized OfficialNancy DerhamPresident · (415) 892-4721
Enumeration DateMarch 14, 2008
NPI 1255502522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 38914
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.
1805 NOVATO BLVD, Novato, CA 94947

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
1805 NOVATO BLVD, SUITE 5
NOVATO, CA 94947
Dentist (Oral and Maxillofacial Surgery)
1805 NOVATO BLVD, SUITE 1
NOVATO, CA 94947
Dentist (General Practice)
1805 NOVATO BLVD, SUITE 6
NOVATO, CA 94947
Dentist (General Practice)
1805 NOVATO BLVD, SUITE 5
NOVATO, CA 94947
Dentist (General Practice)
1805 NOVATO BLVD, SUITE #5
NOVATO, CA 94947
Dentist (General Practice)
1805 NOVATO BLVD, #4
NOVATO, CA 94947
Dentist (Oral and Maxillofacial Surgery)
1805 NOVATO BLVD, SUITE #1
NOVATO, CA 94947

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 Nancy Derham Dental Corporation's NPI number?

The NPI number for Nancy Derham Dental Corporation is 1255502522. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Nancy Derham Dental Corporation located?

Nancy Derham Dental Corporation is located at 1805 Novato Blvd #6, Novato, CA 94947. The listed phone number is (415) 892-4721.

What is Nancy Derham Dental Corporation'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 Nancy Derham Dental Corporation was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.