Derek Van Dyke, D.M.D.

General Practice Dentistry · Marion, OH

Individual Active NPI

NPI number 1558700666

Practice location

1190 Independence Ave
Marion, OH 43302-6318
Phone
(740) 382-5535

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NPI record

NPI
1558700666
Entity type
Individual (Type 1)
Enumeration date
June 21, 2013
Last updated
June 21, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30-024005 OH

Mailing address

189 Forest Lawn Blvd
Marion, OH 43302-4370
Phone
(402) 980-2972

About Dr. Van Dyke

Derek Van Dyke, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1190 Independence Ave, Marion, OH 43302-6318. The NPI number 1558700666 was assigned on June 21, 2013 and the record was last updated on June 21, 2013.

Dr. Van Dyke lists a license in the registry: #30-024005 (OH) 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 Derek Van Dyke, D.M.D.?

The NPI number is 1558700666.

What is the phone number of Dr. Van Dyke?

The phone number listed for the practice location is (740) 382-5535.

Where is Dr. Van Dyke located?

1190 Independence Ave, Marion, OH 43302-6318.

What is the taxonomy code for Dr. Van Dyke?

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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