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Dr. Jeffery A. Derose, DDS
General Practice Dentistry in Niagara Falls, New York
NPI 1184885717

Jeffery A. Derose is a General Practice Dentistry based in Niagara Falls, NY and is specialized in General Practice. Jeffery A. Derose practices in Niagara Falls, NY and has the professional credentials of DDS. The NPI Number for Jeffery A. Derose is 1184885717 and holds a License No. 052933 (New York).

The current practice location address for Jeffery A. Derose is 2145 Lancelot Dr, Niagara Falls, NY and can be reached out via phone at 716-298-3567 and via fax at 716-297-9855.

Location: 2145 Lancelot Dr, Niagara Falls, NY, 14304-3093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184885717
Provider Name
Jeffery A. Derose
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2145 Lancelot Dr, Niagara Falls, NY, 14304-3093
Phone Number
716-298-3567
Fax Number
716-297-9855
Provider Enumeration Date
06/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02783017 05 NY
institution
Provider Business Practice Location Address Details
Address
2145 Lancelot Dr
City
Niagara Falls
State
New York
Zip
14304-3093
Phone Number
716-298-3567
Fax Number
716-297-9855
person
Provider Business Mailing Address Details
Address
2145 Lancelot Dr
City
Niagara Falls
State
New York
Zip
14304-3093
Phone Number
716-298-3567
Fax Number
716-297-9855
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
052933 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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