Daniel J. Derksen

General Practice Dentistry · East Lansing, MI

Individual Active NPI

NPI number 1275735029

Practice location

714 Abbott Rd
East Lansing, MI 48823-3101
Phone
(517) 337-0351
Fax
(517) 337-5610

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NPI record

NPI
1275735029
Entity type
Individual (Type 1)
Enumeration date
June 4, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901019585 MI

About Daniel Derksen

Daniel J. Derksen is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 714 Abbott Rd, East Lansing, MI 48823-3101. The NPI number 1275735029 was assigned on June 4, 2007 and the record was last updated on July 8, 2007.

Daniel Derksen lists a license in the registry: #2901019585 (MI) 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 Daniel J. Derksen?

The NPI number is 1275735029.

What is the phone number of Daniel Derksen?

The phone number listed for the practice location is (517) 337-0351.

Where is Daniel Derksen located?

714 Abbott Rd, East Lansing, MI 48823-3101.

What is the taxonomy code for Daniel Derksen?

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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