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DENTAL DERBY
NPI 1417364605
Dentist - Pediatric Dentistry in Southern Pines, NC

Active since July 19, 2014
10564 S US HIGHWAY 15 501 STE E, SOUTHERN PINES, NC 28387(214) 830-9332 Get Directions Write a Review

NPPES record last updated: July 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dental Derby NPPES

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

DENTAL DERBY (NPI 1417364605) is a healthcare organization registered as a pediatric dentistry in Southern Pines, North Carolina and active in the NPI registry since July 2014. The organization lists Jose Alberto Cangas, Owner, as its authorized official.

NPPES Registry Identity

NPI1417364605
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJOSE CANGAS DDS PLLC
Location Address10564 S US HIGHWAY 15 501 STE ESouthern Pines, NC 28387-5166
Mailing Address10564 S Us Highway 15 501 Ste ESouthern Pines, NC 28387-5166 · (214) 830-9332
Phone(214) 830-9332
Organization SubpartNo
Authorized OfficialJose Alberto CangasOwner · (214) 830-9332
Enumeration DateJuly 19, 2014
✔ NPI 1417364605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NC · 9374
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.
10564 S US HIGHWAY 15 501 STE E, Southern Pines, NC 28387
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Other Names 1

Doing Business AsDental Derby

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

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

DR. CHRISTINA LOUISE POWERS D.D.S.
Dentist (Pediatric Dentistry)
10564 S US HIGHWAY 15 501 STE E
SOUTHERN PINES, NC 28387
Moore County (919) 824-8123

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 Jose Cangas Dds PLLC's NPI number?

The NPI number for Jose Cangas Dds PLLC is 1417364605. It was assigned to this organization in the NPPES registry on July 19, 2014. The provider is doing business as Dental Derby.

Where is Jose Cangas Dds PLLC located?

Jose Cangas Dds PLLC is located at 10564 S Us Highway 15 501 Ste E, Southern Pines, NC 28387. The listed phone number is (214) 830-9332.

What is Jose Cangas Dds PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jose Cangas Dds PLLC was last updated on July 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.