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JUSTIN THOMAS DERK DMD
NPI 1619811916
Student in an Organized Health Care Education/Training Program in Danville, PA

Active since April 16, 2026
20 WESNER LN, DANVILLE, PA 17821(570) 275-6617 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Thomas Derk Dmd NPPES

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

JUSTIN THOMAS DERK DMD (NPI 1619811916) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since April 2026. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619811916
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN THOMAS DERKCredential: DMD
Location Address20 WESNER LNDanville, PA 17821-8023
Mailing Address142 Butternut LnElysburg, PA 17824-7206
Phone(570) 275-6617
Sole ProprietorNo
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1619811916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 WESNER LN, Danville, PA 17821
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Secondary Practice Locations 2

Location 12 Utah DrKulpmont, PA 17834-1972 · Phone (570) 373-5563
Location 2112 Ironstone Dr Ste BNorthumberland, PA 17857-8543 · Phone (570) 235-2468

Other Providers at the Same Location NPPES

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

RINEHART, MARR, & MURDOCK DENTAL, P.C.
Clinic/Center (Dental)
20 WESNER LN
DANVILLE, PA 17821
Montour County (570) 275-2684

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 Justin Derk's NPI number?

The NPI number for Justin Derk is 1619811916. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Justin Derk located?

Justin Derk practices at 20 Wesner Ln, Danville, PA 17821. The listed phone number is (570) 275-6617.

What is Justin Derk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Derk was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.