# DR. DEREK J FAKTOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942223227
- **Gender:** Man
- **Credential:** DMD MBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 050923 | NY | Yes |
| 1223G0001X | General Practice Dentistry | DI021520 | NJ | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 09/11/2025