| Michael A Derose Dds Pa | |
|
2041 Silas Creek Pkwy Winston Salem NC 27103-5147 | |
| (336) 777-0303 | |
| (336) 777-3448 |
| Full Name | Michael A Derose Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2041 Silas Creek Pkwy, Winston Salem, 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 2041 Silas Creek Pkwy Winston Salem NC 27103-5147 Ph: (336) 777-0303 |
| NPI Number | 1164467411 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164467411 | NPI | - | NPPES |
| 89012P6 | Medicaid | NC | |
| 012P6 | Other | BLUE CROSS BLUE SHIELD NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Charlotte Broughton, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Lockland Ave, Winston Salem, NC 27103 Phone: 336-722-7534 Fax: 336-722-4518 | |
Lisa R. Gaither Dmd P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Hanes Mall Blvd, Winston Salem, NC 27103 Phone: 828-697-2826 | |
West Edge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5595 Robin Lark Cir, Winston Salem, NC 27106 Phone: 743-999-7937 Fax: 743-999-7256 | |
Cuthrell, Dds And Mochnick, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Westgate Center Dr Ste B, Winston Salem, NC 27103 Phone: 336-765-3712 Fax: 336-760-0667 | |
Andrew C Geer Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-922-2542 Fax: 336-922-1547 | |
Alterman & Dhillon Piedmont, Pplc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 E Hanes Mill Rd, Winston Salem, NC 27105 Phone: 336-450-2077 | |
Spangler, Lambert And Lipp, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 N Peace Haven Rd, Winston Salem, NC 27104 Phone: 336-768-1332 Fax: 336-768-9470 |