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SAMANTHA KATHERINE DERIDDER DDS
NPI 1619559655
Dentist in Nevada City, CA

Active since April 28, 2021
216 S PINE ST, NEVADA CITY, CA 95959(530) 265-5815 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2022, Aug 11, 2022, Apr 28, 2021 (3 updates tracked since 2021).

About Samantha Katherine Deridder Dds NPPES

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

SAMANTHA KATHERINE DERIDDER DDS (NPI 1619559655) is an individual dentist in Nevada City, California, licensed in California (107758) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1619559655
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSAMANTHA KATHERINE DERIDDERCredential: DDS
Location Address216 S PINE STNevada City, CA 95959-2720
Mailing Address216 S Pine StNevada City, CA 95959-2720 · (530) 265-5815
Phone(530) 265-5815
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1619559655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 107758
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.
216 S PINE ST, Nevada City, CA 95959
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Other Providers at the Same Location NPPES 3

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

DR. JEAN LOUISE CREASEY D.D.S.
Dentist (General Practice)
216 S PINE ST
NEVADA CITY, CA 95959
Nevada County (530) 265-5815
DR. RICHARD JOSEPH DICKARD DDS
Dentist (General Practice)
216 S PINE ST
NEVADA CITY, CA 95959
Nevada County (530) 265-8011
DR. CHARLES CRAIG CREASEY
Dentist (General Practice)
216 S PINE ST
NEVADA CITY, CA 95959
Nevada County (530) 265-5815

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 Samantha Deridder's NPI number?

The NPI number for Samantha Deridder is 1619559655. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Samantha Deridder located?

Samantha Deridder practices at 216 S Pine St, Nevada City, CA 95959. The listed phone number is (530) 265-5815.

What is Samantha Deridder'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 Samantha Deridder was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.