Derek P Nguyen is a Fayetteville, New York based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Derek P Nguyen is
056306 for Pediatric Dentistry in New York. His current practice location is
8016 E Genesee St, Fayetteville. Patients can reach him at
315-637-6961.
Derek P Nguyen provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Derek P Nguyen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Derek P Nguyen |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 8016 E Genesee St, Fayetteville,
New York, 13066-9692 |
| Phone: | 315-637-6961 |
| Fax: | 315-637-0169 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1114219615 |
| NPI Enumeration Date: | 03 May, 2011 |
| NPI Last Update On: | 14 Jul, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek P Nguyen are as mentioned below.
| License Number | Specialization | State | Status | |
| 056306 | Pediatric Dentistry | New York | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11228 Ne 134th Pl,
Vancouver, Washington |
| Zip: | 98682-2070 |
| Phone Number: | 360-921-2187 |
Patients can reach Derek P Nguyen at
8016 E Genesee St, Fayetteville, New York or can
call to book an appointment on 315-637-6961.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.