Individual provider · Type 1 NPI
Claude Charles Lerose Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · Grosse Pointe Woods, MI
NPI number
1831536861
Active
Practice location
20675 Mack Ave
Grosse Pointe Woods, MI 48236
Fax (313) 885-1819
Other practice locations
- 7633 E Jefferson Ave, Detroit, MI 48214-3730 · (313) 499-4775
- 29427 Ryan Rd, Warren, MI 48092-2203 · (586) 755-9340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901020949 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1831536861
Claude Charles Lerose Jr., DDS's National Provider Identifier is 1831536861, issued on May 31, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Jun 25, 2019.