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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL DERNER
NPI 1417887381
Dentist in Sioux Falls, SD

Active since May 21, 2026
4501 E 41ST ST, SIOUX FALLS, SD 57110(605) 339-1369 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Derner NPPES

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

SAMUEL DERNER (NPI 1417887381) is an individual dentist in Sioux Falls, South Dakota, licensed in South Dakota (D1534) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1417887381
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSAMUEL DERNER
Location Address4501 E 41ST STSioux Falls, SD 57110-7200
Mailing Address5505 E York CirSioux Falls, SD 57110-4014
Phone(605) 339-1369
Sole ProprietorNo
Enumeration DateMay 21, 2026
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1417887381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SD · D1534
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4501 E 41ST ST, Sioux Falls, SD 57110
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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. SPENCER LEE GROSS DDS
Dentist
4501 E 41ST ST
SIOUX FALLS, SD 57110
Minnehaha County (605) 339-1369

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 Samuel Derner's NPI number?

The NPI number for Samuel Derner is 1417887381. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Samuel Derner located?

Samuel Derner practices at 4501 E 41st St, Sioux Falls, SD 57110. The listed phone number is (605) 339-1369.

What is Samuel Derner's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Derner was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.