| Michael A Derose Dds Pa | |
|
3053 Freedom Dr Ste B Charlotte NC 28208-3862 | |
| (704) 393-3911 | |
| (704) 392-1096 |
| Full Name | Michael A Derose Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3053 Freedom Dr Ste B, Charlotte, North Carolina |
| Authorized Official Name and Position | Michael Anthony Derose (OWNER) |
| Authorized Official Contact | 3367770303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Derose Dds Pa 2041 Silas Creek Pkwy Winston Salem NC 27103-5147 Ph: (336) 777-0303 | Michael A Derose Dds Pa 3053 Freedom Dr Ste B Charlotte NC 28208-3862 Ph: (704) 393-3911 |
| NPI Number | 1598793242 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598793242 | NPI | - | NPPES |
| 013U4 | Other | BLUE CROSS BLUE SHIELD NC | |
| 89013U4 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Stephen C. Wheeler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Providence Rd, Charlotte, NC 28207 Phone: 704-377-1444 | |
George J Stuart Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 A Randolph Rd, Charlotte, NC 28207 Phone: 704-377-1885 Fax: 704-374-1731 | |
Southend Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 South Blvd, Suite 110, Charlotte, NC 28203 Phone: 704-335-8266 Fax: 704-335-8267 | |
Monique D Mceachern Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10226 Couloak Drive, Ste 100, Charlotte, NC 28216 Phone: 704-971-7272 Fax: 704-971-7522 | |
Drs Reimels & Miller Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Central Ave, Charlotte, NC 28205 Phone: 704-900-7301 | |
South Park Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Coltsgate Rd, Charlotte, NC 28211 Phone: 704-366-8707 Fax: 704-366-8717 | |
Raynald L. Desameau Dmd Pllc Iv Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10460 Park Rd, Charlotte, NC 28210 Phone: 704-540-5440 |