Ballance & Derose Dds Pa is a Dental Clinic in Fayetteville, North Carolina. It is located at 1400 Walter Reed Rd, Suite 200, Fayetteville, NC and its contact number is 910-864-9884. The authorized person for Ballance & Derose Dds Pa is Dr. Michael Anthony Derose
who is Owner of the clinic and their contact number is 336-777-0303. Other organizations associated with this clinic are Rafael Rivera, Jr., Dds, Pllc, Ballance & Derose Dds Pa, Ballance & Derose Dds Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Ballance & Derose Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Ballance & Derose Dds Pa
Specialization:
General Practice Dentistry
Clinic Address:
1400 Walter Reed Rd, Suite 200, Fayetteville, North Carolina, 28304-4409
Phone:
910-864-9884
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Michael Anthony Derose
Position:
Owner
Contact Number:
336-777-0303
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ballance & Derose Dds Pa clinic are as mentioned below.
NPI Number:
1386677961
NPI Enumeration Date:
08 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Rafael Rivera, Jr., Dds, Pllc
Dentistry
1285803197
Ballance & Derose Dds Pa
General Practice Dentistry
1386677961
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ballance & Derose Dds Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
018C1
Other
Blue Cross Blue Shield Nc
5903665
Medicaid
North Carolina
1945717
Other
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ballance & Derose Dds Pa 2041 Silas Creek Pkwy, Winston Salem, North Carolina
Zip:
27103-5147
Phone Number:
336-777-0303
Patients can reach Ballance & Derose Dds Pa at 1400 Walter Reed Rd, Suite 200, Fayetteville, North Carolina or can call to book an appointment on 910-864-9884. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.