Individual
DR. DEREK NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1100 S LAKE ST, FORT WORTH, TX 76104-4374
(817) 870-4746
Mailing address
10428 TERRAPIN RD, FORT WORTH, TX 76126-4571
(817) 219-6934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39550
TX
Other
Enumeration date
03/28/2023
Last updated
07/30/2026
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