MICHAEL A DEROSE DDS PA NPI 1598700775

NPI Information

MICHAEL A DEROSE DDS PA is a general practice dentist in Charlotte, 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 1598700775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4901 N TRYON ST
CHARLOTTE, NC
ZIP 28213-033
Phone: (704) 921-0204
Fax: (704) 921-4095

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 8/22/2020.

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:

Other Identifiers

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