Healthcare Provider Details

I. General information

NPI: 1538714233
Provider Name (Legal Business Name): DERRELL HOOD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 DEPOT ST
TRYON NC
28782-3358
US

IV. Provider business mailing address

70 DEPOT ST
TRYON NC
28782-3358
US

V. Phone/Fax

Practice location:
  • Phone: 740-877-0546
  • Fax:
Mailing address:
  • Phone: 828-859-5839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14222
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: