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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL A DEROSE DDS PA

Active Organization

MICHAEL A DEROSE DDS PA is a General Dentistry organization located in WINSTON SALEM, North Carolina. NPI 1164467411 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WINSTON SALEM, NC

Registration Details

NPI Number
1164467411
Provider Type
Organization
NPI Issued
Jun 19, 2006 (20.158731027664 yrs)
Last Updated
Jul 21, 2022

Practice Information

Address
2041 SILAS CREEK PKWY
WINSTON SALEM, NC, 271035147
Browse NC providers · Browse ZIP 27103
Phone
3367770303
Fax
3367773448
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.