Dr Derry Gushen Agnini, DDS - Dentist in Davenport, FL

Dr Derry Gushen Agnini, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Davenport, Florida. Dr Derry Gushen Agnini is licensed to practice in Florida (license number DN 16647) and her current practice location is 39863 Highway 27, Davenport, Florida. She can be reached at her office (for appointments etc.) via phone at (863) 353-6867.

NPI number for Dr Derry Gushen Agnini is 1417283649 and her current mailing address is 417 North Rd, Lakeland, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417283649.

Contact Information

Dr Derry Gushen Agnini, DDS
39863 Highway 27,
Davenport, FL 33837-7802
(863) 353-6867
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Derry Gushen Agnini
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location39863 Highway 27, Davenport, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417283649
  • Provider Enumeration Date: 10/22/2009
  • Last Update Date: 02/25/2010

Medical Identifiers

Medical identifiers for Dr Derry Gushen Agnini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417283649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics DN 16647 (Florida)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. Dr Derry Gushen Agnini 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
Dr Derry Gushen Agnini, DDS
417 North Rd,
Lakeland, FL 33809-2225

Ph: (863) 513-8112
Dr Derry Gushen Agnini, DDS
39863 Highway 27,
Davenport, FL 33837-7802

Ph: (863) 353-6867

Reviews and Comments


Dentist in Davenport, FL

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Medicare: Not Enrolled in Medicare
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Phone: 863-777-9890    

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