Michael A Derose Dds Pa is a Dental Clinic in Raleigh, North Carolina. It is located at 3212 S Wilmington St, Raleigh, NC and its contact number is 919-773-3002. The authorized person for Michael A 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 Michael A Derose Dds Pa, Rafael Rivera, Jr., Dds, Pllc,
Michael A 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:
Michael A 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: | Michael A Derose Dds Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 3212 S Wilmington St, Raleigh,
North Carolina, 27603-3538 |
| Phone: | 919-773-3002 |
| Fax: | 919-773-8824 |
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 Michael A Derose Dds Pa clinic are as mentioned below.
| NPI Number: | 1457389108 |
| NPI Enumeration Date: | 30 Jun, 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 |
| Michael A Derose Dds Pa | General Practice Dentistry | 1457389108 |
| Rafael Rivera, Jr., Dds, Pllc | Dentistry | 1700055613 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael A 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 |
| 012RV | Other | | Blue Cross Blue Shield Nc |
| 89012RV | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michael A Derose Dds Pa
2041 Silas Creek Pkwy,
Winston Salem, North Carolina |
| Zip: | 27103-5147 |
| Phone Number: | 336-777-0303 |
| Fax Number: | 336-777-3448 |
Patients can reach Michael A Derose Dds Pa at
3212 S Wilmington St, Raleigh, North Carolina or can
call to book an appointment on 919-773-3002.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.