Dr. Jeremy David Derose is a Minden, Louisiana based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jeremy David Derose is
7248 for Dentistry in Louisiana. His current practice location is
164 Country Club Cir Ste A, Minden. Patients can reach him at
318-639-9559.
Dr. Jeremy David Derose is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jeremy David Derose speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jeremy David Derose |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 164 Country Club Cir Ste A, Minden, Louisiana, 71055-7502 |
| Phone: | 318-639-9559 |
| Fax: | 318-639-9560 |
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 are as mentioned below.
| NPI Number: | 1134799646 |
| NPI Enumeration Date: | 28 Jun, 2021 |
| NPI Last Update On: | 29 Jun, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeremy David Derose are as mentioned below.
| License Number | Specialization | State | Status | |
| 7248 | Dentistry | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jeremy David Derose such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7248 | Other | Louisiana | LOUISIANA STATE BOARD OF DENTISTRY |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 164 Country Club Cir Ste A, Minden, Louisiana |
| Zip: | 71055-7502 |
| Phone Number: | 318-639-9559 |
| Fax Number: | 318-639-9560 |
Patients can reach Dr. Jeremy David Derose at
164 Country Club Cir Ste A, Minden, Louisiana or can
call to book an appointment on 318-639-9559.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.