Individual
DEREK NOBREGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 WASHINGTON ST, PLAINVILLE, MA 02762-2641
(508) 695-2064
Mailing address
209 HARVARD ST FL 2, BROOKLINE, MA 02446-5071
(617) 870-6511
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1856558
MA
1223P0221X
Pediatric Dentistry
Primary
LD00081
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD00081
LICENSE
RI
Enumeration date
07/11/2012
Last updated
05/27/2026
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