Michael A Derose Dds Pa in Charlotte - General Practice
Michael A Derose Dds Pa - NPI 1598793242
Michael A Derose Dds Pa is a General Practice in Charlotte, 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 1598793242. The last update date is 2020-08-22.
Michael A Derose Dds Pa's current location address is 3053 Freedom Dr Ste B, Charlotte, North Carolina. You can contact this provider via phone number 7043933911 and fax number 7043921096. The mailing address for Michael A Derose Dds Pa is 3053 Freedom Dr Ste B, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael A Derose Dds Pa |
|---|---|
| Address | 3053 Freedom Dr Ste B, Charlotte, North Carolina |
| Phone Number | 7043933911 |
| Fax Number | 7043921096 |
| 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 | 1598793242 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3053 Freedom Dr Ste B |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 2820838620 |
| Phone Number | 7043933911 |
| Fax Number | 7043921096 |
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 |
|---|---|---|---|
| 013U4 | BLUE CROSS BLUE SHIELD NC | ||
| 89013U4 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael A Derose Dds Pa by the Centers for Medicare & Medicaid Services?
The Michael A Derose Dds Pa has been issued the NPI (National Provider Identifier) 1598793242. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michael A Derose Dds Pa's facilities are geographically located?
The facilities of Michael A Derose Dds Pa are physically situated at the following location: 3053 Freedom Dr Ste B, Charlotte, NC, 2820838620.
What is the area of specialization for Michael A Derose Dds Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael A Derose Dds Pa is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did Michael A Derose Dds Pa receive its 1598793242 assignment?
The Michael A Derose Dds Pa was assigned its 1598793242 on 2006-06-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Michael A Derose Dds Pa most recently updated?
The details pertaining to the Michael A Derose Dds Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.