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MRS. DEIADRE A DERY
NPI 1548610702
Dental Assistant in Fort Knox, KY

Active since June 20, 2016
962 1ST INFATRY DIVISION RD, JORDAN DENTAL CLINIC BLDG 2724, FORT KNOX, KY 40121(502) 626-8301(502) 626-8300 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Deiadre A Dery NPPES

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

MRS. DEIADRE A DERY (NPI 1548610702) is an individual dental assistant in Fort Knox, Kentucky and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1548610702
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameMRS. DEIADRE A DERY
Location Address962 1ST INFATRY DIVISION RD, JORDAN DENTAL CLINIC BLDG 2724Fort Knox, KY 40121-5210
Mailing Address398 192nd Armored Tank Bn Rd, Usa Dentac Headquarters Bldg 1022Fort Knox, KY 40121-5116 · (502) 624-6158 · Fax (502) 624-2966
Phone(502) 626-8301
Fax(502) 626-8300
Sole ProprietorNo
Enumeration DateJune 20, 2016
✔ NPI 1548610702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
962 1ST INFATRY DIVISION RD, Fort Knox, KY 40121
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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 Deiadre Dery's NPI number?

The NPI number for Deiadre Dery is 1548610702. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Deiadre Dery located?

Deiadre Dery practices at 962 1st Infatry Division Rd Jordan Dental Clinic Bldg 2724, Fort Knox, KY 40121. The listed phone number is (502) 626-8301.

What is Deiadre Dery's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Deiadre Dery was last updated on June 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.