DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRICK GLEN TENGCO, DMD

Active Sole Proprietor

DERRICK GLEN TENGCO, DMD is a Dentist healthcare provider located in LAWRENCE, Massachusetts. NPI 1134601669 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAWRENCE, MA

Registration Details

NPI Number
1134601669
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2018 (7.9444464929728 yrs)
Last Updated
Aug 31, 2018
License
DN1858105 (MA)
Sole Proprietor
Yes

Practice Information

Address
314 ESSEX ST
LAWRENCE, MA, 018401411
Browse MA providers · Browse ZIP 01840
Phone
6057145114
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LAWRENCE, MA

Name Credential NPI
DR. HOSSAM NOSHI MAKKAR DMD 1740302298
ANOLI J PABARI D.M.D 1538370598
DR. CHERYL MAY HILLS PAULINO DMD 1801091756
DR. NGUYET M TAU D.M.D. 1063600120
JINHYUNG CHO DMD 1003085366
DR. DAVID WILLIAM FIX DDS 1952572455
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.