Deroven, Rick Jerome

Deroven, Rick Jerome is an individual health care provider with primary practice located at 2340 S Commerce Rd Ste 1, Walled Lake MI 48390-2126. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Deroven, Rick Jerome can be contacted via phone (248) 624-0676.

Contact Information

Primary practice address
2340 S Commerce Rd Ste 1 Walled Lake MI 48390-2126
Fax: (248) 624-8951
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11795 Michigan

Profile Details

NPI number 1982627105
LBN Legal business name Deroven, Rick Jerome
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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