Individual provider · Type 1 NPI

Gregory Derose Jr., DDS

Dentist · Fort Polk, LA

NPI number 1225601511 Active

Practice location

7223 Mississippi Avenue, Bldg 1561
Fort Polk, LA 71459

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X4515 (AR)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1225601511

Gregory Derose Jr., DDS's National Provider Identifier is 1225601511, issued on Jul 23, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Polk, LA. The record was last updated on Jul 23, 2021.