Michael A Derose Dds Pa
LBN: Michael A Derose Dds Pa
Michael A Derose Dds Pa is an health care organization with primary practice located at 2041 Silas Creek Pkwy , Winston Salem NC 27103-5147. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Michael A Derose Dds Pa can be contacted via phone (336) 777-0303, or through Derose, Michael Anthony via phone (336) 777-0303.
Contact Information
Primary practice address
2041 Silas Creek Pkwy
Winston Salem NC 27103-5147
Phone: (336) 777-0303
Fax: (336) 777-3448
Website:
Authorized official contact:
Name: Derose, Michael Anthony Doctor of Dental Surgery (DDS)
Phone: (336) 777-0303
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X |
Profile Details
| NPI number | 1164467411 |
|---|---|
| LBN Legal business name | Michael A Derose Dds Pa |
| DBA Doing business as | |
| Authorized official | Derose, Michael Anthony Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164467411 | NPPES |
| North Carolina | MEDICAID | 89012P6 | |
| North Carolina | Other | 012P6 |
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