| Michael A Derose Dds Pa | |
|
3212 S Wilmington St Raleigh NC 27603-3538 | |
| (919) 773-3002 | |
| (919) 773-8824 |
| Full Name | Michael A Derose Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3212 S Wilmington St, Raleigh, 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 3212 S Wilmington St Raleigh NC 27603-3538 Ph: (919) 773-3002 |
| NPI Number | 1457389108 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457389108 | NPI | - | NPPES |
| 012RV | Other | BLUE CROSS BLUE SHIELD NC | |
| 89012RV | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Henry H Hancock Iii Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4505 Fair Meadows Ln, Suite 220, Raleigh, NC 27607 Phone: 919-781-9905 Fax: 919-782-5747 | |
Catherine H. Cunningham, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Rodessa Run, Raleigh, NC 27607 Phone: 919-593-1810 | |
Smith & Tart, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Northway Ct, Raleigh, NC 27615 Phone: 919-847-6000 Fax: 919-847-3159 | |
Steven H. Davis, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2810 Wakefield Pines Dr, Suite 100, Raleigh, NC 27614 Phone: 919-488-2194 Fax: 919-488-2197 | |
Spectrum Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8511 Cantilever Way Ste 101, Raleigh, NC 27613 Phone: 919-278-7576 Fax: 919-278-7694 | |
Sunrise Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Spring Forest Rd, Raleigh, NC 27615 Phone: 919-878-0055 Fax: 919-878-0096 | |
Dr James J Chun Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3803-b Computer Dr, Suite #202, Raleigh, NC 27609 Phone: 919-787-8779 Fax: 919-787-4156 |