Derek Adam Gaudry, DDS
Endodontics · Ft Sam Houston, TX
Practice location
2018 Army Blvd, Apt aUSA Dentac
Ft Sam Houston, TX 78234
- Phone
- (210) 221-0826
NPI record
- NPI
- 1225002652
- Entity type
- Individual (Type 1)
- Enumeration date
- February 14, 2006
- Last updated
- June 19, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Endodontics Primary | 1223E0200X |
D0521 | SD |
| Dentist | 122300000X |
105 | SD |
About Dr. Gaudry
Derek Adam Gaudry, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 2018 Army Blvd, Apt a, USA Dentac, Ft Sam Houston, TX 78234. The NPI number 1225002652 was assigned on February 14, 2006 and the record was last updated on June 19, 2014.
Dr. Gaudry lists 2 licenses in the registry: #D0521 (SD) for Endodontics; #105 (SD) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derek Adam Gaudry, DDS?
The NPI number is 1225002652.
What is the phone number of Dr. Gaudry?
The phone number listed for the practice location is (210) 221-0826.
Where is Dr. Gaudry located?
2018 Army Blvd, Apt a, USA Dentac, Ft Sam Houston, TX 78234.
What is the taxonomy code for Dr. Gaudry?
The primary taxonomy code is 1223E0200X – Endodontics; 1 more listed above.
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.