Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY DAVID DEROSE, DDS
Active Sole ProprietorDR. JEREMY DAVID DEROSE, DDS is a Dentist healthcare provider located in MINDEN, Louisiana. NPI 1134799646 is currently active in the NPPES registry. Verify at CMS.
Dentist · MINDEN, LA
Registration Details
- NPI Number
- 1134799646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2021 (5.1376425466842 yrs)
- Last Updated
- Jun 29, 2021
- License
-
7248 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
164 COUNTRY CLUB CIR STE AMINDEN, LA, 710557502Browse LA providers · Browse ZIP 71055
- Phone
- 3186399559
- Fax
- 3186399560
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MINDEN, LA
| Name | Credential | NPI |
|---|---|---|
| DR. JUSTIN LEVI PROCELL | DDS | 1407423338 |
| DR. KALEIGH MORGAN BUNDY | DDS | 1437897659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.