Michael A Derose Dds Pa in Winston Salem - General Practice
Michael A Derose Dds Pa - NPI 1164467411
Michael A Derose Dds Pa is a General Practice in Winston Salem, North Carolina. Michael A Derose Dds Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael A Derose Dds Pa is 1164467411. The last update date is 2022-07-21.
Michael A Derose Dds Pa's current location address is 2041 Silas Creek Pkwy, Winston Salem, North Carolina. You can contact this provider via phone number 3367770303 and fax number 3367773448. The mailing address for Michael A Derose Dds Pa is 2041 Silas Creek Pkwy, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael A Derose Dds Pa |
|---|---|
| Address | 2041 Silas Creek Pkwy, Winston Salem, North Carolina |
| Phone Number | 3367770303 |
| Fax Number | 3367773448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Derose Anthony Michael |
| Credentials | DDS |
| Telephone Number | 3367770303 |
NPI Number Detail
| NPI Number | 1164467411 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2041 Silas Creek Pkwy |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271035147 |
| Phone Number | 3367770303 |
| Fax Number | 3367773448 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89012P6 | NC | -- | |
| 012P6 | BLUE CROSS BLUE SHIELD NC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael A Derose Dds Pa?
The Michael A Derose Dds Pa has been issued the NPI (National Provider Identifier) 1164467411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael A Derose Dds Pa is physically located?
The Michael A Derose Dds Pa is physically situated at the following address: 2041 Silas Creek Pkwy, Winston Salem, NC, 271035147.
What is Michael A Derose Dds Pa's area of expertise and its corresponding taxonomy classification?
The Michael A Derose Dds Pa's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did the Michael A Derose Dds Pa receive its 1164467411?
The Michael A Derose Dds Pa was issued its 1164467411 on 2006-06-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Michael A Derose Dds Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael A Derose Dds Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.