Samantha Katherine Deridder, DDS - Dentist in Nevada City, CA

Samantha Katherine Deridder, DDS is a Dentist based in Nevada City, California. Samantha Katherine Deridder is licensed to practice in California (license number 107758) and her current practice location is 216 S Pine St, Nevada City, California. She can be reached at her office (for appointments etc.) via phone at (530) 265-5815.

NPI number for Samantha Katherine Deridder is 1619559655 and her current mailing address is 216 S Pine St, Nevada City, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619559655.

Contact Information

Samantha Katherine Deridder, DDS
216 S Pine St,
Nevada City, CA 95959-2720
(530) 265-5815
Not Available



Healthcare Provider's Profile

Full NameSamantha Katherine Deridder
GenderFemale
SpecialityDentist
Location216 S Pine St, Nevada City, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619559655
  • Provider Enumeration Date: 04/28/2021
  • Last Update Date: 08/22/2022

Medical Identifiers

Medical identifiers for Samantha Katherine Deridder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619559655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 107758 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Katherine Deridder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Katherine Deridder, DDS
216 S Pine St,
Nevada City, CA 95959-2720

Ph: (530) 265-5815
Samantha Katherine Deridder, DDS
216 S Pine St,
Nevada City, CA 95959-2720

Ph: (530) 265-5815

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› Verified 3 days ago


Dentist in Nevada City, CA

Dr. Gregory E Vixie, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 707 Zion St, Suite C, Nevada City, CA 95959
Phone: 530-265-4206    Fax: 530-265-9033
Dr. Alan A Clark, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15898 Bush Rd, Nevada City, CA 95959
Phone: 530-478-1144    Fax: 530-478-0711
Dr. Mark James Hagele, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 101 Providence Mine Rd, Suite 103-b, Nevada City, CA 95959
Phone: 530-265-6656    
Dr. Timothy Richard Lutz, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14390 Idaho Maryland Rd, Nevada City, CA 95959
Phone: 530-478-1984    Fax: 530-478-1985
Dr. Jasper Youn Yai, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 707 Zion St Ste C, Nevada City, CA 95959
Phone: 510-579-6696    
Dr. Jean Louise Creasey, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 216 S Pine St, Nevada City, CA 95959
Phone: 530-265-5815    Fax: 530-265-8737
Dr. Matthew Dale Woods, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Providence Mine Rd, Suite 103, Nevada City, CA 95959
Phone: 530-265-3740    

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