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Derek Nguyen, DDS
NPI 1114219615 · Pediatric Dentistry · Fayetteville, NY
Derek Nguyen, DDS is a Pediatric Dentistry provider in Fayetteville, NY (NPI 1114219615).
Provider details
- NPI number
- 1114219615
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 056306 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8016 E Genesee St
Fayetteville, NY 13066-9692
Phone: (315) 637-6961
Fax: (315) 637-0169
Street-level locationGet directions
Mailing address
11228 Ne 134th Pl
Vancouver, WA 98682-2070
Additional practice locations (1)
- 949 Park AveNew York, NY 10028-0315Phone: (212) 997-6453
Registry dates
- Enumerated
- 2011-05-03
- Last updated
- 2019-07-14
Frequently asked questions
- What is Derek Nguyen's NPI number?
- Derek Nguyen's National Provider Identifier (NPI) is 1114219615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Nguyen's specialty?
- Derek Nguyen is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Derek Nguyen located?
- Derek Nguyen's practice location on file with NPPES is 8016 E Genesee St, Fayetteville, NY 13066-9692.
- What is Derek Nguyen's phone number?
- The practice phone number listed in the NPPES registry for Derek Nguyen is (315) 637-6961.
- Is Derek Nguyen's NPI active?
- Yes — Derek Nguyen's NPI (1114219615) is active in the NPPES registry as of the last update on 2019-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.