Derek Nobrega is a Providence, Rhode Island 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 Nobrega is
LD00081 for Pediatric Dentistry in Rhode Island. His current practice location is
21 Peace St, Providence. Patients can reach him at
401-456-4461.
Derek Nobrega 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 Nobrega 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 Nobrega |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 21 Peace St, Providence,
Rhode Island, 02907-1510 |
| Phone: | 401-456-4461 |
| Fax: | 401-456-4420 |
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: | 1871858233 |
| NPI Enumeration Date: | 11 Jul, 2012 |
| NPI Last Update On: | 11 Jul, 2012 |
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 Nobrega are as mentioned below.
| License Number | Specialization | State | Status | |
| LD00081 | Pediatric Dentistry | Rhode Island | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Derek Nobrega such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| LD00081 | Other | Rhode Island | LICENSE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 825 Chalkstone Ave, N. Campus Business Office, Attn: R. Soares
Providence, Rhode Island |
| Zip: | 02908-4728 |
| Phone Number: | 401-456-2525 |
| Fax Number: | 401-456-6742 |
Patients can reach Derek Nobrega at
21 Peace St, Providence, Rhode Island or can
call to book an appointment on 401-456-4461.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.