Derek A Fender, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Macy, NE
- NPI
- 1164539573
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5847 (NE)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-08-23
- Last updated
- 2018-03-17
Practice location
100 Indian Hills Drive, Po Box 250
Macy, NE 68039-0250
(402) 837-5381