Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB EARON DERRICKSON, DDS
ActiveDR. JACOB EARON DERRICKSON, DDS is a Dentist healthcare provider located in CARENCRO, Louisiana. NPI 1083289243 is currently active in the NPPES registry. Verify at CMS.
Dentist · CARENCRO, LA
Registration Details
- NPI Number
- 1083289243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2021 (5.0508100003754 yrs)
- Last Updated
- May 20, 2021
- License
-
7181 (LA)
Practice Information
- Address
-
258 ARCENEAUX RDCARENCRO, LA, 705206220Browse LA providers · Browse ZIP 70520
- Phone
- 3375200672
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CARENCRO, LA
| Name | Credential | NPI |
|---|---|---|
| DR. PHILLIP LYLE STELLY | DDS | 1447378526 |
| DR. JEFFREY MICHAEL MAESTRI | D.D.S. | 1336365485 |
| DR. NICHOLAS JOHN RICHARDS | DDS | 1083083976 |
| DR. KALEB JORDAN MURRAY | DDS | 1629709159 |
| DR. ALYSSA MAGEE | — | 1164215745 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.