Search › North Carolina › 1223G0001X
Timothy Deruyter, DDS
NPI 1487810800 · on the registry since 2008
Practice
- Address
- 1050 Jabara Ave
Seymour Johnson Afb
Goldsboro, NC 27531 - Phone
- (919) 722-1933
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-05
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 North Carolina