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DAVID DERISSE DMD
NPI 1396958146
Dentist in New York, NY

Active since May 08, 2007
129 WADSWORTH AVE APT 3, NEW YORK, NY 10033(212) 923-0505(212) 568-5960 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Derisse Dmd NPPES

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

DAVID DERISSE DMD (NPI 1396958146) is an individual dentist in New York, New York, licensed in New York (051680) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396958146
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDAVID DERISSECredential: DMD
Location Address129 WADSWORTH AVE APT 3New York, NY 10033-4831
Mailing Address211 W 6th AveRoselle, NJ 07203-1127
Phone(212) 923-0505
Fax(212) 568-5960
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396958146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 051680
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.
129 WADSWORTH AVE APT 3, New York, NY 10033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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 David Derisse's NPI number?

The NPI number for David Derisse is 1396958146. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is David Derisse located?

David Derisse practices at 129 Wadsworth Ave Apt 3, New York, NY 10033. The listed phone number is (212) 923-0505.

What is David Derisse's specialty?

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

What insurance does David Derisse accept?

Health plans from Humana list David Derisse 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 David Derisse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.