Dr. Cindy Michelle Derer, DMD
Dentist, General Practice in Lexington, KY. Individual provider (NPI-1).
NPI number1679620504
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679620504
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cindy Michelle Derer
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5291 | KY | Yes |
Practice location
698 Perimeter DrLexington, KY 40517-4141
Phone 859-268-9090 · Fax 859-266-2410
Mailing address
698 Perimeter DrLexington, KY 40517-4141
Phone 859-268-9090 · Fax 859-266-2410
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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