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MICHAEL A DEROSE DDS PA NPI 1164467411


NPI Information

NPI: 1164467411
Provider Name: MICHAEL A DEROSE DDS PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2041 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 777-0303
Get Directions

MICHAEL A DEROSE DDS PA is a general practice dentist in Winston Salem, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MICHAEL A DEROSE DDS PA NPI is 1164467411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2041 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103-147
Phone: (336) 777-0303
Fax: (336) 777-3448

The provider's authorized official is Michael Anthony Derose .
The authorized official title is Owner and has the following contact phone number (336) 777-0303.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
189012P6MEDICAIDNORTH CAROLINA
2012P6OTHERBLUE CROSS BLUE SHIELD NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.