William L. Derrickson, DDS

General Practice Dentistry · Brick, NJ

Individual Active NPI

NPI number 1154460046

Practice location

15 Princeton Ave
Brick, NJ 08724-3515
Phone
(732) 840-1199

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NPI record

NPI
1154460046
Entity type
Individual (Type 1)
Enumeration date
February 6, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22D102125500 NJ

Mailing address

418 Bridlemere Ave
Interlaken, NJ 07712-4309
Phone
(732) 660-0071

About Dr. Derrickson

William L. Derrickson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 15 Princeton Ave, Brick, NJ 08724-3515. The NPI number 1154460046 was assigned on February 6, 2007 and the record was last updated on July 8, 2007.

Dr. Derrickson lists a license in the registry: #22D102125500 (NJ) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William L. Derrickson, DDS?

The NPI number is 1154460046.

What is the phone number of Dr. Derrickson?

The phone number listed for the practice location is (732) 840-1199.

Where is Dr. Derrickson located?

15 Princeton Ave, Brick, NJ 08724-3515.

What is the taxonomy code for Dr. Derrickson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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