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Michael A Derose Dds Pa
General Practice Dentistry in Charlotte, North Carolina
NPI 1598700775

Michael A Derose Dds Pa is a General Practice Dentistry based in Winston Salem, NC and is specialized in General Practice. Michael A Derose Dds Pa practices in Charlotte, NC. The NPI Number for Michael A Derose Dds Pa is 1598700775 and holds a License No. (North Carolina).

The current practice location address for Michael A Derose Dds Pa is 4901 N Tryon St, Charlotte, NC and can be reached out via phone at 704-921-0204 and via fax at 704-921-4095.

Location: 4901 N Tryon St, Charlotte, NC, 27103-5147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598700775
Provider Name
Michael A Derose Dds Pa
Credential
Provider Entity Type
Organization
Address
4901 N Tryon St, Charlotte, NC, 27103-5147
Phone Number
704-921-0204
Fax Number
704-921-4095
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89014NG 05 NC
014NG 01 BLUE CROSS BLUE SHIELD NC
institution
Provider Business Practice Location Address Details
Address
4901 N Tryon St
City
Charlotte
State
North Carolina
Zip
28213-7033
Phone Number
704-921-0204
Fax Number
704-921-4095
person
Provider Business Mailing Address Details
Address
4901 N Tryon St
City
Charlotte
State
North Carolina
Zip
28213-7033
Phone Number
704-921-0204
Fax Number
704-921-4095
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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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