Jacob Derrickson, DDS
NPI 1083289243 · on the registry since 2021
Practice
- Address
- 258 Arceneaux Rd
Carencro, LA 70520 - Phone
- (337) 520-0672
- Organisation at this address
- Phillip L Stelly Dds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana